National Provider Identifier

Ryan Lawrence Koch, DDS, MS

Ryan Lawrence Koch, DDS, MS 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.

NPI 1518640499Geneseo, NYOrthodontics and Dentofacial Orthopedics Dentistry

Profile Overview

NPI
1518640499
Provider Type
Individual
Primary Specialty
Orthodontics and Dentofacial Orthopedics Dentistry
Enumeration Date
August 08, 2023
Last Updated
August 08, 2023

Practice Location

  • 4376 Lakeville RD
  • Geneseo, NY 14454-9761

Phone: (585) 243-3174

Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
NPI
1518640499
Entity Type
Individual
Last Name
Koch
First Name
Ryan
Middle Name
Lawrence
Name Prefix
Dr.
Credential
DDS, MS
Mailing Street Address
4376 Lakeville RD
Mailing City
Geneseo
Mailing State
NY
Mailing ZIP Code
14454-9761
Mailing Country
US
Mailing Phone
(585) 243-3174
Practice Street Address
4376 Lakeville RD
Practice City
Geneseo
Practice State
NY
Practice ZIP Code
14454-9761
Practice Country
US
Practice Phone
(585) 243-3174
Enumeration Date
August 08, 2023
Last Updated
August 08, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
August 08, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)