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Prof. Takashi Koyama, DMD,PHDFACS
Oral & Maxillofacial Surgery (D.M.D.) in Fort Pierce, Florida
NPI 1356459028

Takashi Koyama is a Oral & Maxillofacial Surgery (D.M.D.) based in Fort Pierce, FL. Takashi Koyama practices in Fort Pierce, FL and has the professional credentials of DMD,PHDFACS. The NPI Number for Takashi Koyama is 1356459028 and holds a License No. DN16376 (Florida).

The current practice location address for Takashi Koyama is 2402 Frist Blvd Ste 100, Fort Pierce, FL and can be reached out via phone at 772-461-9700 and via fax at 772-461-9300.

Location: 2402 Frist Blvd Ste 100, Fort Pierce, FL, 34950-4838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356459028
Provider Name
Takashi Koyama
Credential
DMD,PHDFACS
Provider Entity Type
Individual
Gender
Male
Address
2402 Frist Blvd Ste 100, Fort Pierce, FL, 34950-4838
Phone Number
772-461-9700
Fax Number
772-461-9300
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN 16376 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2402 Frist Blvd Ste 100
City
Fort Pierce
State
Florida
Zip
34950-4838
Phone Number
772-461-9700
Fax Number
772-461-9300
person
Provider Business Mailing Address Details
Address
2402 Frist Blvd Ste 100
City
Fort Pierce
State
Florida
Zip
34950-4838
Phone Number
772-461-9700
Fax Number
772-461-9300
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN16376 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
DN16376 (Florida)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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