DR. GREGORY LEONARD KOONTZ (NPI# 1417064437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417064437 |
| Entity Type | Individual |
| Full Name | DR. GREGORY LEONARD KOONTZ |
| Credential | DMD |
| Practice Address |
1801 Wisconsin Ave Bethesda MD 20889-0001 |
| Mailing Address |
11612 Milbern Dr Potomac MD 20854-3522 |
| Practice Telephone | 3012950077 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401411550 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558421099 | Gregory N Koontz | Dentist | 1301 Armory Dr, Franklin, VA 23851-2419 | 2006-12-12 |
| Street Address |
1801 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1245379619 | Richard John Green | Dentist | 6300 Democracy Blvd, Bethesda, MD 20817-1664 | 2007-02-05 |
| 1770638769 | Arnold F Binderman | Dentist | 10215 Fernwood Road #601, Bethesda, MD 20817 | 2007-01-23 |
| 1124116413 | Edward Alan Zupnik | Dentist | 8218 Wisconsin Avenue, Suite 203, Bethesda, MD 20814-3107 | 2006-10-11 |
| 1861583122 | Roy Lionel Eskow | Dentist | 5626 Shields Dr, Bethesda, MD 20817-3532 | 2006-09-28 |
| 1679821854 | Stephen Hutton | Dentist | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2012-08-21 |
| 1578707626 | Thomas Hart | Dentist | 10 Center Dr, Building 10; Room 5n-102, Bethesda, MD 20892-0001 | 2009-04-20 |
| 1932273489 | Douglas Dompkowski | Dentist | 5411 W Cedar Ln, Suite# 206-a, Bethesda, MD 20814-1516 | 2006-11-17 |
| 1346338639 | Charles Chung Kuang Chen | Dentist | 8218 Wisconsin Avenue, Suite 203, Bethesda, MD 20814-3107 | 2006-10-11 |
| 1417045717 | Robert Myron Zupnik | Dentist | 8218 Wisconsin Avenue, Suite 203, Bethesda, MD 20814-3107 | 2006-10-11 |
| Find all providers in BETHESDA | ||||
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| 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.