Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY J KOPPENHAVER, DMD
ActiveDR. JEREMY J KOPPENHAVER, DMD is a Pediatric Dentistry healthcare provider located in FORT STEWART, Georgia. NPI 1043441108 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT STEWART, GA
Registration Details
- NPI Number
- 1043441108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2009 (17.050276030927 yrs)
- Last Updated
- Oct 19, 2018
- Licenses
-
DS038003 (PA)DS38003 (PA)
Practice Information
- Address
-
351 W 6TH STREETBLDG 440FORT STEWART, GA, 31314Browse GA providers · Browse ZIP 31314
- Phone
- 9124357006
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Dentist
Other Pediatric Dentistry Providers in FORT STEWART, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHNNY ROMAN VIDIC | DDS | 1366452526 |
| DR. KEVIN LASSITER | D.M.D. | 1043621493 |
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.