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DR. GREGORY LEONARD KOONTZ DMD NPI 1417064437


NPI Information

NPI: 1417064437
Provider Name: DR. GREGORY LEONARD KOONTZ, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
1801 WISCONSIN AVE
BETHESDA, MD
ZIP 20889
Phone: (301) 295-0077
Get Directions

DR. Gregory Leonard Koontz, DMD is a periodontics dentist in Bethesda, MD. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Gregory Leonard Koontz, DMD NPI is 1417064437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 WISCONSIN AVE
BETHESDA, MD
ZIP 20889-001
Phone: (301) 295-0077

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics0401411550VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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