Active NPIIndividual providerSole proprietor

Dr. Brian S Koo, DDS

Dentist, General Practice in Livingston, New Jersey

NPI Number1396927828
Practice location
201 S Livingston Avene, Livingston, NJ 07039
Fax
973-994-3933
Last updated
August 30, 2022

Brian S Koo is a Dentist, General Practice based in Livingston, NJ. Brian S Koo practices in Livingston, NJ and has the professional credentials of DDS. The NPI Number for Brian S Koo is 1396927828 and holds a License No. 22DI02310100 (NJ). The current practice location address for Brian S Koo is 201 S Livingston Avene, Livingston, NJ 07039 and can be reached out via phone at 973-994-4200 and via fax at 973-994-3933.

Provider Profile Details

NPI Number
1396927828
Provider Name
Brian S Koo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
201 S Livingston Avene, Livingston, NJ 07039
Phone Number
973-994-4200
Fax Number
973-994-3933
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
November 27, 2007
Last Update Date
August 30, 2022
Certification Date
August 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 S Livingston Avene
Livingston, NJ 07039
Zip
07039
Phone Number
973-994-4200
Fax Number
973-994-3933
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
201 S Livingston Avene
Livingston, NJ 07039
City
Livingston
State
NJ
Zip
07039
Phone Number
973-994-4200
Fax Number
973-994-3933

License Information

License Number
22DI02310100
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brian S Koo, DDS?

The NPI number of Dr. Brian S Koo, DDS is 1396927828. It was assigned on November 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian S Koo, DDS?

Dr. Brian S Koo, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02310100.

Where does Dr. Brian S Koo, DDS practice?

The practice location is 201 S Livingston Avene, Livingston, NJ 07039. The office can be reached at 973-994-4200 (phone) or 973-994-3933 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396927828 directly on the NPPES registry website.

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