Richard John Koeltl Jr., D.D.S.

General Practice Dentistry · Danville, CA

Individual Active NPI

NPI number 1346445152

Practice location

4165 Blackhawk Plaza Cir
Suite 200
Danville, CA 94506-4904
Phone
(925) 736-4201
Fax
(925) 736-2107

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NPI record

NPI
1346445152
Entity type
Individual (Type 1)
Enumeration date
June 20, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 47745 CA

About Dr. Koeltl

Richard John Koeltl Jr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4165 Blackhawk Plaza Cir, Suite 200, Danville, CA 94506-4904. The NPI number 1346445152 was assigned on June 20, 2007 and the record was last updated on July 8, 2007.

Dr. Koeltl lists a license in the registry: #47745 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard John Koeltl Jr., D.D.S.?

The NPI number is 1346445152.

What is the phone number of Dr. Koeltl?

The phone number listed for the practice location is (925) 736-4201.

Where is Dr. Koeltl located?

4165 Blackhawk Plaza Cir, Suite 200, Danville, CA 94506-4904.

What is the taxonomy code for Dr. Koeltl?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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