Dr Jason Mantle Koch, DMD is a
Dentist based in St Mary, Kentucky. Dr Jason Mantle Koch is licensed to practice in Kentucky (license number 7252) and his current practice location is
95 Raywick Rd, St Mary, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 699-4074.
NPI number for Dr Jason Mantle Koch is 1649459264 and his current mailing address is 100 Cambron Dr, Bardstown, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649459264.
Healthcare Provider's Profile
| Full Name | Dr Jason Mantle Koch |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 95 Raywick Rd, St Mary, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649459264
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 10/31/2007
Medical Identifiers
Medical identifiers for Dr Jason Mantle Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649459264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 7252 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jason Mantle Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jason Mantle Koch, DMD
100 Cambron Dr,
Bardstown, KY 40004-2245
Ph: (502) 460-2976 | Dr Jason Mantle Koch, DMD
95 Raywick Rd,
St Mary, KY 40063-8800
Ph: (270) 699-4074 |
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