Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104940840 Individual Practitioner Male Practitioner

Dr. Philip I Koh , DDS

Dentist - General Practice • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Dr. Philip Koh, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chantilly, VA. Practice services are available at 14016 SULLYFIELD CIR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14016 Sullyfield Cir Ste B

Chantilly, VA 201514010

Telephone 7038150699
Fax 7038150692
Associated Practice Facility / Clinic
🏢 K-Tech Dental Group, Pc Facility NPI 1992212310

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
28 Specialists

Practicing in Chantilly, VA (3535 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

CMS Verified: 2023-12-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901019018

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License MI 2901019018

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Of Mi Med Surgical
1958112110 (MI)
Commercial Insurance / Payer ID Bcbs Of Mi Dental
D910180 (MI)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 05, 2024

Registered at 14016 SULLYFIELD CIR STE B, CHANTILLY, VA 201514010 (Tel: 7038150699)

📍
Updated Business Mailing Address February 05, 2024

Registered at 14016 SULLYFIELD CIR STE B, CHANTILLY, VA 201514010 (Tel: 7038150699)

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

Registered at 10721 MAIN ST, SUITE#100, FAIRFAX, VA 220306914 (Tel: 7038658829)

📍
Updated Business Mailing Address September 13, 2016

Registered at 10721 MAIN ST, SUITE#100, FAIRFAX, VA 220306914 (Tel: 7038658829)

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as PHILIP KOH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Dentist (License #2901019018 in MI)

🟢
Initial NPI Registration & Enumeration March 19, 2007

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: 1104940840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: February 05, 2024
Sole Proprietor: No

Mailing Address

14016 Sullyfield Cir Ste B

Chantilly, VA 201514010

Phone: 7038150699

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.