Keith S. Kodama, D.D.S.

Dentist · Tustin, CA

Individual Active NPI

NPI number 1164588737

Practice location

14213 Red Hill Ave
Tustin, CA 92780-5835
Phone
(714) 832-8220

Open in Google Maps

NPI record

NPI
1164588737
Entity type
Individual (Type 1)
Enumeration date
December 28, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 32646 CA

About Dr. Kodama

Keith S. Kodama, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 14213 Red Hill Ave, Tustin, CA 92780-5835. The NPI number 1164588737 was assigned on December 28, 2006 and the record was last updated on July 8, 2007.

Dr. Kodama lists a license in the registry: #32646 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith S. Kodama, D.D.S.?

The NPI number is 1164588737.

What is the phone number of Dr. Kodama?

The phone number listed for the practice location is (714) 832-8220.

Where is Dr. Kodama located?

14213 Red Hill Ave, Tustin, CA 92780-5835.

What is the taxonomy code for Dr. Kodama?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Tustin

All Dentist providers in Tustin, CA →