Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255611901 Individual Practitioner Male Practitioner

Dr. Eric J Koenig , DMD

Dentist • Nellis Afb, NV

Professional Overview & Biography Verified Profile Summary

Dr. Eric Koenig, DMD is a registered healthcare professional specializing in Dentist in Nellis Afb, NV. Practice services are available at 4700 LAS VEGAS BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Nellis Afb, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Nellis Afb, NV (886 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 CO 10558

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

35 Associated Practitioners
NPI 1083965081

Doctor of Dental Medicine

NPI 1134502206

Doctor of Dental Surgery

NPI 1154494813

Doctor of Dental Medicine

NPI 1174826747

Doctor of Dental Surgery

Emmarie Watts

Student in an Organized Health Care Education/Training Program

NPI 1194669101
Dr. Patrick Gaus , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1225302334

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 06, 2017

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191 (Tel: (702) 653-2600)

📍
Updated Practice Location September 06, 2017

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532600)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as ERIC KOENIG, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Dentist (License #10558 in CO)

📍
Updated Practice Location June 06, 2017

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 8589224843)

📍
Updated Business Mailing Address June 06, 2017

Registered at 26064 CHARONNE CT, VALENCIA, CA 913552024 (Tel: (858) 922-4843)

NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2012

Registered at 412TH DENTAL CLINIC, 31 NIGHTINGALE RD, EDWARDS AFB, CA 93524 (Tel: 6612772872)

📍
Updated Business Mailing Address September 12, 2012

Registered at 1109 IRONWOOD AVE, PALMDALE, CA 93551 (Tel: 8589224843)

👤
Provider Name / Credentials Updated September 12, 2012

Recorded as ERIC KOENIG, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Dentist (License #10558 in CO)

🟢
Initial NPI Registration & Enumeration August 26, 2011

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: 1255611901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2011
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 89191

Phone: 7026532600

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.