NPI 1023472230

Krista Koch

Practitioner General Practice Dentistry Glen Burnie, MD

Practice location

Address: 633 Greenway Rd SE, Glen Burnie, MD 21061-3713
Phone: (410) 761-1100
Mailing address: 2118 Saint Heather Ln, Gambrills, MD 21054-2138

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 17662 (MD)

Other Dentist providers in Maryland →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 8814 (SC)

Registry record

NPI: 1023472230
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2016
Record last updated: 21 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.