National Provider Identifier
Keith William Koch, D.D.S.
Keith William Koch, D.D.S. is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Geneseo, NY and a listed phone number of (585) 243-3174.
Profile Overview
- NPI
- 1396967931
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- May 03, 2007
- Last Updated
- July 08, 2007
Practice Location
- 4376 Lakeville RD.
- Geneseo, NY 14454
Phone: (585) 243-3174
Mailing Address
- 4376 Lakeville RD.
- PO Box 186
- Geneseo, NY 14454
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1396967931
- Entity Type
- Individual
- Last Name
- Koch
- First Name
- Keith
- Middle Name
- William
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 4376 Lakeville RD.
- Mailing Address Line 2
- PO Box 186
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454
- Mailing Country
- US
- Mailing Phone
- (585) 243-3174
- Mailing Fax
- (585) 243-3333
- Practice Street Address
- 4376 Lakeville RD.
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454
- Practice Country
- US
- Practice Phone
- (585) 243-3174
- Practice Fax
- (585) 243-3333
- Enumeration Date
- May 03, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)