Individual
DR. JAMES L KOEHLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLD B-6837 NORMANDY DRIVE, US ARMY DENTAL ACTIVITY, FORT BRAGG, NC 28301-6022
(617) 780-6125
Mailing address
4323 HILL STREET, US ARMY DENTAL ACTIVITY, FORT JACKSON, SC 29207-6022
(803) 751-6213
(803) 751-6886
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12344
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8705311
UT
Other
Enumeration date
09/18/2013
Last updated
09/13/2024
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