Robert David Koenitzer, DDS

General Practice Dentistry · Petaluma, CA

Individual Active NPI

NPI number 1497828545

Practice location

101 Lynch Creek Way
Petaluma, CA 94954-8301
Phone
(707) 762-6715
Fax
(707) 763-1614

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NPI record

NPI
1497828545
Entity type
Individual (Type 1)
Enumeration date
November 16, 2006
Last updated
February 11, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 34624 CA

About Dr. Koenitzer

Robert David Koenitzer, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 101 Lynch Creek Way, Petaluma, CA 94954-8301. The NPI number 1497828545 was assigned on November 16, 2006 and the record was last updated on February 11, 2008.

Dr. Koenitzer lists a license in the registry: #34624 (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 Robert David Koenitzer, DDS?

The NPI number is 1497828545.

What is the phone number of Dr. Koenitzer?

The phone number listed for the practice location is (707) 762-6715.

Where is Dr. Koenitzer located?

101 Lynch Creek Way, Petaluma, CA 94954-8301.

What is the taxonomy code for Dr. Koenitzer?

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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