Michael F Koffler DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25081 Issued in CA

Legal business name

MICHAEL F KOFFLER DMD INC

Practice address

131 Lynch Creek Way Ste a
Petaluma, CA 94954-2391

Phone

(707) 763-1951

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Koffler

Title

Owner

Phone

(707) 763-1951

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962610550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LYNCH CREEK WAY STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LYNCH CREEK WAY STE A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542391",
            "telephone_number": "707-763-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F KOFFLER DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-763-1951",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "25081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Messer
• Moe Metwalli, PHARMD
• Charles E. Metzger, MD
• Erin Keefe Meyers, L.AC., CMT
• Yesica Meza Soto
• Laerke Riisberg Mikkelsen
• Julie Miknis
• Jonathan Ross Miles, D.D.S.
• Jessica Anne Miller Drum
• Adam Miller

• Dental Clinic/Center in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.