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Deactivated NPI 1245327717 Deactivated / Inactive NPI Male Practitioner

David Koth

Dentist - Prosthodontics • Evans, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Koth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006
NPI Deactivation Date October 28, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

David Koth was a registered Dentist - Prosthodontics practicing in Evans, GA. Throughout an active medical career spanning 14 years, David Koth provided care at the practice location at 894 WINDMILL LN until profile deactivation on 2020-10-28.

Practice Location & Contact Primary Location

Practice Address

894 Windmill Ln

Evans, GA 308096631

Telephone 7062101395

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Evans, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Evans, GA (108 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License AL 4236

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 28, 2020

Record deactivated on October 28, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 894 WINDMILL LN, EVANS, GA 308096631 (Tel: 7062101395)

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Updated Business Mailing Address July 08, 2007

Registered at 894 WINDMILL LN, EVANS, GA 308096631

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID KOTH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4236 in AL)

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Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245327717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: July 08, 2007
Deactivation Date: October 28, 2020

Mailing Address

894 Windmill Ln

Evans, GA 308096631

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.