Koch, Mark G.

Koch, Mark G. is an individual health care provider with primary practice located at 13123 E 16Th Ave B240, Aurora CO 80045-7106. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Koch, Mark G. can be contacted via phone (720) 777-6788.

Contact Information

Primary practice address
13123 E 16Th Ave B240 Aurora CO 80045-7106
Phone: (720) 777-6788
Fax: (720) 777-7239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9353 Colorado

Profile Details

NPI number 1962532630
LBN Legal business name Koch, Mark G.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962532630 NPPES
Colorado MEDICAID 12678520

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