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

Dr. Jessica Koster, DDS

Individual provider Dentist · NPI 1508590647

Dr. Jessica Koster, DDS is a Dentist in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

10 Saint Johns Medical Park Dr Ste C
St Augustine, FL 32086-5202
Phone: (210) 450-3715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN29830 (FL)
Dentist Taxonomy 122300000X · Licence 38796 (TX)

Record details

NPI number1508590647
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address130 Shipyard Way Apt 1436, Saint Augustine, FL 32084-4233

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