| Mr Kenneth Eugene Koenke, DDS | |
| 
					37 Bow St, Freeport, ME 04032  | |
| (207) 865-0673 | |
| Not Available | 
| Full Name | Mr Kenneth Eugene Koenke | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 37 Bow St, Freeport, Maine | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801955364 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3792 (Maine) | Primary | 
| 1223G0001X | Dentist - General Practice | 12625 (Missouri) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Kenneth Eugene Koenke, DDS 13063 Brookmead Dr, Manassas, VA 20112 Ph: (703) 794-9219  | Mr Kenneth Eugene Koenke, DDS 37 Bow St, Freeport, ME 04032 Ph: (207) 865-0673  | 
Dr. Jonathan Goold Strout, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 46 Mallett Dr, Freeport, ME 04032 Phone: 207-865-3934 Fax: 207-865-4590  | |
Dr. Joseph H Wetherhold, DMD Dentist Medicare: Medicare Enrolled Practice Location: 348 Us Route 1, Freeport, ME 04032 Phone: 207-865-1900 Fax: 207-865-1922  |