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

DR. JESSICA KOSTER, DDS

Active Sole Proprietor

DR. JESSICA KOSTER, DDS is a Periodontology healthcare provider located in ST AUGUSTINE, Florida. NPI 1508590647 is currently active in the NPPES registry. Verify at CMS.

Periodontology · ST AUGUSTINE, FL

Registration Details

NPI Number
1508590647
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2022 (4.0408037116789 yrs)
Last Updated
Apr 29, 2025
Licenses
38796 (TX)
DN29830 (FL)
Sole Proprietor
Yes

Practice Information

Address
10 SAINT JOHNS MEDICAL PARK DR STE C
ST AUGUSTINE, FL, 320865202
Browse FL providers · Browse ZIP 32086
Phone
2104503715
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in ST AUGUSTINE, FL

Name Credential NPI
DR. STEPHEN LEWIS STROUT DMD, MS 1225046691
DR. ROBERT ROY THOUSAND JR. D.D.S. 1326264615
DR. GREGORY E OXFORD DDS MS PHD 1528276185
DR. HAILEY WILSON MCKINLEY DDS, MSD 1922681337
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.