DR. PHILIP ERICH KOCH


Address: 1221 Sherwood Park Drive, Suite B, Gainesville, GA 30501
Phone: 7705341492

DR. PHILIP ERICH KOCH (NPI# 1023117629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023117629
Entity Type Individual
Full Name DR. PHILIP ERICH KOCH
Credential DMD
Practice Address 1221 Sherwood Park Drive
Suite B
Gainesville
GA 30501
Practice Telephone 7705341492
Practice Fax Number 7705348309
Mailing Telephone 7705341492
Mailing Fax Number 7705348309
Enumeration Date 2006-09-21
Last Update Date 2017-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
8279 GA Dental Providers

Other Providers PHILIP KOCH

NPI Name Taxonomy Address Enumeration
1093089682 Philip Jordan Koch Counselor 8150 Wornall Rd, Kansas City, MO 64114-5806 2012-02-29
1154460665 Philip J Koch Physical Therapist 99 Tulip Ave, Suite 407, Floral Park, NY 11001-1974 2007-02-05

Office Location

Street Address 1221 SHERWOOD PARK DRIVE
SUITE B
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
Find all providers in zip 30501

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053979997 Anand R Patel Dentist 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 2019-06-05
1013251065 Hamad A Alharbi Dentist 1395 Center Drive Oral and Maxillofacial Surgery, Gainesville, FL 32610-1005 2012-11-15
1306108865 W Jones Phillips Dds PC Dentist 698 Medical Park Ln, Gainesville, GA 30501-2084 2012-06-11
1376821777 Williamson T. Ratliff Dentist 2121 Nw 40th Ter Ste C, Gainesville, FL 32605-5814 2011-08-02
1750524351 Neeraj Ravindra Nagella Dentist 3736 Nw 27th St, Gainesville, FL 32605-2074 2009-04-13
1538338439 Marvin Slott Dds Pa Dentist 6801 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4263 2008-02-25
1376615880 Nevil Phillip Bush Dentist 1221 A Sherwood Park Dr Ne, Gainesville, GA 30501 2006-11-14
1578674271 Fred H Simonton IIi Dentist 1221 Sherwood Park Dr Ne Ste C, Gainesville, GA 30501-3404 2006-08-31
1336174846 Caton & Taylor Pa Dentist 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 2006-07-12
1225022833 Mark Phillip Moore Dentist 2048 Windward Ln, Gainesville, GA 30501-7418 2005-09-09
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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