Kenneth Eugene Koenke, DDS

General Practice Dentistry · Freeport, ME

Individual Active NPI

NPI number 1801955364

Practice location

37 Bow St
Freeport, ME 04032
Phone
(207) 865-0673

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NPI record

NPI
1801955364
Entity type
Individual (Type 1)
Enumeration date
December 8, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3792 ME
General Practice Dentistry 1223G0001X 12625 MO

Mailing address

13063 Brookmead Dr
Manassas, VA 20112
Phone
(703) 794-9219

About Dr. Koenke

Kenneth Eugene Koenke, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 37 Bow St, Freeport, ME 04032. The NPI number 1801955364 was assigned on December 8, 2006 and the record was last updated on July 8, 2007.

Dr. Koenke lists 2 licenses in the registry: #3792 (ME) for General Practice Dentistry; #12625 (MO) 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 Kenneth Eugene Koenke, DDS?

The NPI number is 1801955364.

What is the phone number of Dr. Koenke?

The phone number listed for the practice location is (207) 865-0673.

Where is Dr. Koenke located?

37 Bow St, Freeport, ME 04032.

What is the taxonomy code for Dr. Koenke?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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