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

Dr. Jeremy J Koppenhaver, DMD

Individual provider Prosthodontics · NPI 1043441108

Dr. Jeremy J Koppenhaver, DMD is a Prosthodontics in Fort Stewart, Georgia. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

351 W 6th St Bldg 440
Fort Stewart, GA 31314
Phone: (912) 435-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DS038003 (PA)
Dentist Taxonomy 122300000X · Licence DS38003 (PA)

Record details

NPI number1043441108
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 6, 2009
Last updated in NPPESOctober 19, 2018

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