Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy P. Koontz DMD, PLLC

Organization Dentist · NPI 1174499818

Jeremy P. Koontz DMD, PLLC is a Dentist in Marysville, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5100 Grove St Ste B
Marysville, WA 98270-4492
Phone: (360) 658-7750
Fax: (360) 658-1297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1174499818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Koontz — Owner · (360) 658-7750
Other names Northwest Smile Design
NPI enumeratedOctober 10, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address5100 Grove St Ste B, Marysville, WA 98270-4492

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