Anne Lauren Koch, DMD
Individual provider Active NPI Endodontics · West Yarmouth, MA
NPI 1851892434 · NPPES record last updated Feb 28, 2018
Key facts
- NPI
- 1851892434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DN13735 (MA)
- Practice address
- 29 Lewis Bay Blvd
Suite 4
West Yarmouth, MA 02673 - Phone
- (631) 219-9845
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DN13735 | MA | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN13735 | MA | Yes |
Addresses
Primary practice location
29 Lewis Bay Blvd
Suite 4
West Yarmouth, MA 02673
Mailing address
PO Box 778
West Yarmouth, MA 02673
Phone (631) 219-9845
Other providers in West Yarmouth, MA
- Hyannis Animal Hospital, Inc
- John C. Serijan, D.M.D., P.C.
- Roberta Ellen Jordan
- Doris Clawson Kapp
- Stephen Shaun Katzenback
- Laura K Kondrat
- Lauren Krystopolski
- Sara Leroy
- Verna Lewis
- Zariah Lima
All providers in West Yarmouth, MA · Endodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2018. 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.