JACOB E. KOCH


Address: 55 Towler Rd Bldg B, Lawrenceville, GA 30046-4717
Phone: 7709629560

JACOB E. KOCH (NPI# 1639467236) 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) 1639467236
Entity Type Individual
Full Name JACOB E. KOCH
Credential D.D.S.
Practice Address 55 Towler Rd Bldg B
Lawrenceville
GA 30046-4717
Mailing Address 2401 Cranmore Ct
Snellville
GA 30078-7733
Practice Telephone 7709629560
Mailing Telephone 6789778093
Enumeration Date 2011-07-16
Last Update Date 2011-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DN014246 GA Dental Providers

Other Providers JACOB KOCH

NPI Name Taxonomy Address Enumeration
1205165784 Jacob John Koch Psychiatry & Neurology 4020 Folker St, Alaska Community Mental Health Service, Anchorage, AK 97508 2009-12-14

Office Location

Street Address 55 TOWLER RD BLDG B
City LAWRENCEVILLE
State GA
Zip Code 30046-4717

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1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
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1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245894856 Christine Chen Dentist 3131 Princeton Pike Ste 101, Lawrenceville, NJ 08648-2201 2019-04-29
1093099533 Milin Parikh Dentist 2081 Lullwater Pl, Lawrenceville, GA 30043-5141 2011-10-03
1184951188 Daniel D Dunwody Dentist 3675 Lawrenceville Hwy, Lawrenceville, GA 30044-4107 2009-11-11
1326262643 Kenneth Edward Starling Jr. Dentist 131 Langley Dr Ste A, Lawrenceville, GA 30045 2007-04-11
1225180276 Raymond Christopher Lyew Dentist 3060 River Dr, Lawrenceville, GA 30044-5526 2007-01-18
1316959547 Lawrence B. Evans, Dds, Ms, PC Dentist 55 Towler Rd, Building B, Lawrenceville, GA 30045-4717 2006-08-13
1790031235 Daniel Cassarella Dentist 520 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 2012-08-02
1679759351 M. Marie Dang Dentist 3100 Princeton Pike, Building 1, Suite C, Lawrenceville, NJ 08648-2300 2008-01-13
1295952521 Lawrenceville Orthodontic Associates Dentist 3131 Princeton Pike, Building 6, Suite 108, Lawrenceville, NJ 08648-2201 2007-04-19
1457407405 Laura C Davis Dds Dentist 875 Lawrenceville Suwanee Rd, Suite 410, Lawrenceville, GA 30043-8479 2007-01-25
Find all providers in LAWRENCEVILLE

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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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