Mark G. Koch in Aurora - Pediatric Dentistry

Mark G. Koch - NPI 1962532630

Mark G. Koch is a Pediatric Dentistry in Aurora, Colorado. Mark G. Koch practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark G. Koch is 1962532630. The last update date is 2011-01-03.

Mark G. Koch's current location address is 13123 E 16th Ave, Aurora, Colorado. You can contact this provider via phone number 7207776788 and fax number 7207777239. The mailing address for Mark G. Koch is 13123 E 16th Ave, Aurora, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark G. Koch
Address 13123 E 16th Ave, Aurora, Colorado
Phone Number 7207776788
Fax Number 7207777239
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1962532630
Provider Enumeration Date 2007-03-06
Last Updated Date 2011-01-03

Provider Mailing Address Detail

Address 13123 E 16th Ave
City Aurora
State Colorado (CO)
Post Code 800457106
Phone Number 7207776788
Fax Number 7207777239

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 9353
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12678520 CO --

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FAQs about Mark G. Koch

What is the unique 10-digit identifier code assigned to Mark G. Koch by the Centers for Medicare & Medicaid Services?

The Mark G. Koch has been issued the NPI (National Provider Identifier) 1962532630 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark G. Koch's facilities are geographically located?

The facilities of Mark G. Koch are physically situated at the following location: 13123 E 16Th Ave, Aurora, CO, 800457106.

What is Mark G. Koch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark G. Koch is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did the Mark G. Koch receive the assignment of its 1962532630 from the Centers for Medicare & Medicaid Services?

The Mark G. Koch was issued its 1962532630 by the Centers for Medicare & Medicaid Services on 2007-03-06.

When was the information regarding Mark G. Koch most recently updated?

The details pertaining to the Mark G. Koch, including its address, specialty, and other relevant information, were last refreshed on 2011-01-03.

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