Prof. Takashi Koyama, DMD, PHDFACS
Prof. Takashi Koyama, DMD, PHDFACS is an Oral Surgery in Fort Pierce, Florida. Graduated from Perelman School of Med at the University of Pennsylvania in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 26
- Trained at
- Perelman School of Med at the University of Pennsylvania
- Licensed in
- FL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
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 · Licence DN16376 (FL) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence DN16376 (FL) |
Record details
| NPI number | 1356459028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , PHDFACS |
| Sole proprietor | No |
| NPI enumerated | August 25, 2006 |
| Last updated in NPPES | July 16, 2019 |
Medicare enrollment
| Medicare specialty | ORAL SURGERY |
|---|---|
| Also practises | MAXILLOFACIAL SURGERY |
| Medical school | PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA |
| Graduated | 2000 (26 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Pierce
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Takashi Koyama DMD PHD PA
2402 Frist Blvd Ste 100, Fort Pierce, FL 34950-4838 · (772) 461-9700