Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON MANTLE KOCH, D.M.D.
Active Sole ProprietorDR. JASON MANTLE KOCH, D.M.D. is a Dentist healthcare provider located in ST MARY, Kentucky. NPI 1649459264 is currently active in the NPPES registry. Verify at CMS.
Dentist · ST MARY, KY
Registration Details
- NPI Number
- 1649459264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2007 (18.817327149032 yrs)
- Last Updated
- Oct 31, 2007
- License
-
7252 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
95 RAYWICK RDST MARY, KY, 400638800Browse KY providers · Browse ZIP 40063
- Phone
- 2706994074
- Primary Specialty
-
Dentist
122300000X
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.