| Jeremy P. Koontz Dmd, P.l.l.c. | |
|
5100 Grove St Ste B Marysville WA 98270-4492 | |
| (360) 658-7750 | |
| (360) 658-1297 |
| Full Name | Jeremy P. Koontz Dmd, P.l.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 5100 Grove St Ste B, Marysville, Washington |
| Authorized Official Name and Position | Jeremy Parco Koontz (OWNER) |
| Authorized Official Contact | 3606587750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy P. Koontz Dmd, P.l.l.c. 5100 Grove St Ste B Marysville WA 98270-4492 Ph: (360) 658-7750 | Jeremy P. Koontz Dmd, P.l.l.c. 5100 Grove St Ste B Marysville WA 98270-4492 Ph: (360) 658-7750 |
| NPI Number | 1174499818 |
|---|---|
| Provider Enumeration Date | 10/10/2025 |
| Last Update Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174499818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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