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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY S KOCH, D.D.S.

Active

DR. BRADLEY S KOCH, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in GREEN BAY, Wisconsin. NPI 1013921196 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · GREEN BAY, WI

Registration Details

NPI Number
1013921196
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.010921128255 yrs)
Last Updated
Jul 8, 2007
License
4005-015 (WI)

Practice Information

Address
2353 S RIDGE RD
GREEN BAY, WI, 543045069
Browse WI providers · Browse ZIP 54304
Phone
9204990471
Fax
9204998312
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in GREEN BAY, WI

Name Credential NPI
WILLIAM J NELSON DDS 1578583654
MICHAEL J SCHUH DDS 1760403570
GREGORY W WELSH DDS 1124049820
DR. MICHAEL M MISKELLA D.D.S. 1588688105
DR. DAVID L LEMOINE D.D.S. 1447264502
DR. VIJAY S PARMAR D.D.S. 1447274071
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.