JASON FREDERICK KOESTERS (NPI# 1306071048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306071048 |
| Entity Type | Individual |
| Full Name | JASON FREDERICK KOESTERS |
| Credential | DDS |
| Practice Address |
374 Mdg Unit 5071 Apo AP 96328 |
| Mailing Address |
Psc 78 Box 3348 Apo AP 96326-0034 |
| Practice Telephone | 0118142552 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 24602 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24602 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18th Medical Group, Unit 5142, Apo, AP 963685142 | 011818041533305 |
| Street Address |
374 MDG UNIT 5071 |
| City | APO |
| State | AP |
| Zip Code | 96328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922342484 | Amory S Balucating | Registered Nurse | 374 Mdg, Unit #5225, Apo, AP 96326 | 2012-11-21 |
| 1508130378 | Juan Jose Garcia Jr. | Physician Assistant | 374 Mdg, Unit 5071, Apo, AP 96328-5071 | 2012-02-26 |
| 1326369133 | Jonathan J Schubert | Dentist | 374 Mdg, Yokota Ab Japan, Apo, AP 96328-5224 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520337 | Cindy L Lan | Dentist | 374th Dental Squadron Yokota Ab, Apo, AP 96328 | 2013-02-19 |
| 1679834964 | Joshua W Donart | Internal Medicine | 374 Medical Group Internal Medicine Clinic, Unit 5071 Bldg 4408, Apo, AP 96328 | 2012-06-03 |
| 1720221948 | Roberto Ocampo Gutierrez | Military Health Care Provider | Mdos, Unit 5227, Apo, AP 96328 | 2009-04-17 |
| 1285877498 | Stephen Jerome White | Military Health Care Provider | 374 Msgs/sgne, Unit 5071, Apo, AP 96328 | 2009-04-17 |
| 1396900536 | Jay Matthew Butler | Optometrist | 374th Medical Group/optometry, Yokota Air Base, Japan, Apo, AP 96328 | 2008-07-28 |
| 1689708588 | Wendy Irelan Conway | Obstetrics & Gynecology | 374 Mdg/sgopo, Unit 5071, Apo, AP 96328 | 2007-03-15 |
| 1154427631 | Von F. Borg | Counselor | Yokota Air Base, Unit 5071, Apo, AP 96328 | 2006-09-15 |
| 1649294810 | Doris Ann Boyd | Social Worker | 374 Mdos/sgomhf, Unit 5227, Apo, AP 96328 | 2006-07-27 |
| 1073558961 | Melissa L Tennant | Physical Therapist | Yokota Ab, Japan, Unit 5071, Apo, AP 96328 | 2006-06-17 |
| 1114984101 | Chu Hyon Soh | Physical Therapist | 374 Mdos/sgosy, Unit 5227, Apo, AP 96328 | 2006-04-26 |
| Find all providers in zip 96328 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558347690 | Hekyung Lee Jung | Dentist | 618th Dental Co(as)/ Korea Dentac; Unit 15660, Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2005-12-21 |
| 1811971583 | Laura Anne Aeschlimann | Dentist | 18 Dental Squadron/sgd/unit 5270, Apo, AP 96368-5270 | 2005-12-06 |
| 1285959353 | Chad T Eardley | Dentist | Cmr 427, Box 1120, Apo, AE 09630 | 2010-04-01 |
| 1528254513 | Suzana M Gjekaj | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2007-09-24 |
| 1689778086 | Michelle Uy Wild | Dentist | Cmr 402, Landstuhl Dental Ativity, Apo, AE 09108 | 2006-09-08 |
| 1235187162 | Norman William Ott Jr. | Dentist | Cmr 402, Landstuhl Dental Activity Credentials Office, Apo, AE 09180 | 2006-05-04 |
| 1629056213 | Amy Ruth Aston I | Dentist | 86 Mdg, Unit 3215, Apo, AE 09094-3215 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741779 | Mark Boone | Dentist | Usndc Far East, Psc 475 Box 1857, Fpo, AP 96350 | 2005-12-19 |
Please comment or provide details below to improve the information on JASON FREDERICK KOESTERS.
| 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.