Takashi Koyama DMD PHD PA
Takashi Koyama DMD PHD PA is an Oral and Maxillofacial Surgery (Dentist) in Fort Pierce, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2402 Frist Blvd Ste 100Fort Pierce, FL 34950-4838
Phone: (772) 461-9700
Fax: (772) 461-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X |
Record details
| NPI number | 1558429753 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanya Gonzalez — Practice Manager · (772) 461-9700 |
| Other names | Florida Institute Of Oms; Florida Institute Of Oms |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 2402 Frist Blvd Ste 100, Fort Pierce, FL 34950-4838 |
Other providers in Fort Pierce
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Prof. Takashi Koyama, DMD, PHDFACS
2402 Frist Blvd Ste 100, Fort Pierce, FL 34950-4838 · (772) 461-9700