Jeffrey Koksal, DDS
Individual provider Active NPI General Practice Dentistry · Salina, KS
NPI 1073536660 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073536660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 60396 (KS)
- Practice address
- 950 Elmhurst Blvd
Salina, KS 67401-7402 - Phone
- (785) 827-4401
- Fax
- (785) 827-1560
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60396 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salina Riverside Dental Care, P. a. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60396 | KS | Yes |
Addresses
Primary practice location
950 Elmhurst Blvd
Salina, KS 67401-7402
Mailing address
950 Elmhurst Blvd
Salina, KS 67401-7402
Phone (785) 827-4401
Other providers in Salina, KS
- Derek P Knopp
- Jeffrey B Knox
- Kaleigh Ann Knox
- Karen Kobs
- Angela Nicole Koerperich
- Gary Kolling
- Angela D Kooken
- Mordecai Kopperman
- William D. Kossow
- Robert R Kraft
All providers in Salina, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.