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Active NPI 1467059071 Individual Practitioner Male Practitioner

Dr. Jeremy Parco Koontz , DMD

Dentist - General Practice • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jeremy Koontz, DMD is a registered healthcare professional specializing in Dentist - General Practice in Enumclaw, WA. Practice services are available at 2617 GRIFFIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2617 Griffin Ave

Enumclaw, WA 980222380

Telephone 3608252191
Associated Practice Facility / Clinic
🏢 Christopher P Koontz, Dds, Ps Facility NPI 1770099988

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enumclaw, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Enumclaw, WA (3345 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: 2020-10-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61100694

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Brent Skovmand , DDS

Dentist - General Practice

NPI 1194894238

Doctor of Dental Surgery

Dr. Grant Lo , DDS

Dentist - General Practice

NPI 1619030160

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active October 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2020

Registered at 2617 GRIFFIN AVE, ENUMCLAW, WA 980222380 (Tel: 3608252191)

📍
Updated Business Mailing Address October 06, 2020

Registered at 2617 GRIFFIN AVE, ENUMCLAW, WA 980222380 (Tel: 3608252191)

👤
Provider Name / Credentials Updated October 06, 2020

Recorded as JEREMY KOONTZ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Dentist (License #DE61100694 in WA)

🟢
Initial NPI Registration & Enumeration October 06, 2020

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: 1467059071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2020
Last Update: October 06, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2617 Griffin Ave

Enumclaw, WA 980222380

Phone: 3608252191

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.