Takashi Koyama, DMD, PHD FACS

Individual Active
NPI 1356459028
Oral & Maxillofacial Surgery (D.M.D.) Fort Pierce, FL

Takashi Koyama, DMD, PHD FACS holds NPI 1356459028, with a primary taxonomy of oral & maxillofacial surgery (d.m.d.) and a practice location in Fort Pierce, FL. The number was issued on August 25, 2006 and the NPPES record was last updated on July 16, 2019. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X DN16376 (FL)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN16376 (FL)

Practice location

2402 Frist Blvd Ste 100
Fort Pierce, FL 34950-4838
Phone: (772) 461-9700

Local context

Active NPPES records list 2 providers with oral & maxillofacial surgery (d.m.d.) as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 116 in Florida and 2,081 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Prof. Takashi Koyama
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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