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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN014246 | GA | Dental Providers |
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 |
Street Address |
55 TOWLER RD BLDG B |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-4717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
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 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
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 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
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. |
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 |
City | LAWRENCEVILLE |
Zip Code | 30046 |
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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.