Individual
DR. CHRISTOPHER JOHN KOECHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1373 YMCA DR, FESTUS, MO 63028-2617
(636) 937-6565
(636) 642-0696
Mailing address
5120 ROMAINE SPRING DR, FENTON, MO 63026-5865
(618) 364-2411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10147
KY
1223G0001X
General Practice Dentistry
Primary
2019007234
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
12/19/2020
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