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Deactivated NPI 1518076876 Deactivated / Inactive NPI Male Practitioner

Dr. Greg K Koch , DDS

Dentist • Forest Lake, MN

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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, Dr. Greg Koch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date July 03, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Greg Koch, DDS was a registered Dentist practicing in Forest Lake, MN. Throughout an active medical career spanning 12 years, Dr. Koch provided care at the practice location at 1068 S LAKE STREET until profile deactivation on 2018-07-03.

Practice Location & Contact Primary Location

Practice Address

1068 S Lake Street
#209

Forest Lake, MN 55025

Telephone 6514642248
Fax 6514647944
Associated Practice Facility / Clinic
🏢 G2 Dental Facility NPI 1790776144

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Forest Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Forest Lake, MN (1863 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 8109

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Hannah Curry , DMD

Dentist - General Practice

NPI 1386213924

Doctor of Dental Medicine

NPI 1588773840

Doctor of Dental Surgery

NPI 1609706381

Doctor of Dental Surgery

NPI 1780793042

Doctor of Dental Surgery

NPI 1801905161

Doctor of Dental Surgery

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 July 03, 2018

Record deactivated on July 03, 2018

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 1068 S LAKE STREET, #209, FOREST LAKE, MN 55025 (Tel: 6514642248)

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Updated Business Mailing Address July 08, 2007

Registered at 1068 S LAKE STREET, #209, FOREST LAKE, MN 55025 (Tel: 6514642248)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GREG KOCH, DDS

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

Dentist (License #8109 in MN)

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Initial NPI Registration & Enumeration August 30, 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: 1518076876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: July 08, 2007
Deactivation Date: July 03, 2018

Mailing Address

1068 S Lake Street, #209

Forest Lake, MN 55025

Phone: 6514642248

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.