Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey Howard Kootman, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1205991858

Dr. Jeffrey Howard Kootman, DMD is an Oral and Maxillofacial Surgery (Dentist) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

702 E Bell Rd B103
Phoenix, AZ 85022
Phone: (602) 493-1140
Fax: (602) 493-5328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 3369 (AZ)

Record details

NPI number1205991858
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 8, 2007

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