Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. TAKASHI KOYAMA, DMD, PHD FACS
ActivePROF. TAKASHI KOYAMA, DMD, PHD FACS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in FORT PIERCE, Florida. NPI 1356459028 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FORT PIERCE, FL
Registration Details
- NPI Number
- 1356459028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.999996943728 yrs)
- Last Updated
- Jul 16, 2019
- Licenses
-
DN16376 (FL)DN16376 (FL)
Practice Information
- Address
-
2402 FRIST BLVD STE 100FORT PIERCE, FL, 349504838Browse FL providers · Browse ZIP 34950
- Phone
- 7724619700
- Fax
- 7724619300
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.