DR. JESSICA KOSTER DDS NPI 1508590647

NPI Information

  • NPI: 1508590647
  • Provider Name: DR. JESSICA KOSTER, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10 SAINT JOHNS MEDICAL PARK DR STE C
    ST AUGUSTINE, FL
    ZIP 32086
  • Phone: (210) 450-3715

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NPI Details

DR. Jessica Koster, DDS is a periodontics dentist in St Augustine, FL. 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. Jessica Koster, DDS NPI is 1508590647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 SAINT JOHNS MEDICAL PARK DR STE C
ST AUGUSTINE, FL
ZIP 32086-202
Phone: (210) 450-3715

The NPI 1508590647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/14/2022 and was last updated on 4/29/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist38796TEXASNo
21223P0300XDentistPeriodonticsDN29830FLORIDAYes

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: 11/21/2025

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