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DR. JEREMY J KOPPENHAVER DMD
NPI 1043441108
Dentist - Prosthodontics in Fort Stewart, GA

Active since August 06, 2009
351 W 6TH STREET, BLDG 440, FORT STEWART, GA 31314(912) 435-7006 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2018, Aug 20, 2016 (2 updates tracked since 2016).

About Dr. Jeremy J Koppenhaver Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY J KOPPENHAVER DMD (NPI 1043441108) is an individual prosthodontics provider in Fort Stewart, Georgia, licensed in Pennsylvania (DS038003) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1043441108
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. JEREMY J KOPPENHAVERCredential: DMD
Location Address351 W 6TH STREET, BLDG 440Fort Stewart, GA 31314
Mailing Address351 W 6th Street, Bldg 440Fort Stewart, GA 31314
Phone(912) 435-7006
Sole ProprietorNo
Enumeration DateAugust 6, 2009
Last NPPES UpdateOctober 19, 20182 updates tracked since enumeration
✔ NPI 1043441108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in PA · DS038003
Definition
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.
Also ListedDentistTaxonomy 122300000X · License DS38003 (PA)
351 W 6TH STREET, Fort Stewart, GA 31314
Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIYAH WALL
Dental Assistant
351 W 6TH STREET, BLDG 440
FORT STEWART, GA 31314
Liberty County (912) 435-5826
MS. JANET COBBS-POST EFDA
Dental Assistant
351 W 6TH STREET
FORT STEWART, GA 31314
Liberty County (912) 767-8513
MARY HARRIS
Dental Hygienist
351 W 6TH STREET
FORT STEWART, GA 31314
Liberty County (912) 767-8513
TARGHEE BOSS DDS
Dentist
351 W 6TH STREET
FORT STEWART, GA 31314
Liberty County (912) 435-9185
DR. ROBERT C GERLACH DDS
Dentist (Periodontics)
351 W 6TH STREET, BLDG 440, USA DENTAC
FT STEWART, GA 31314
Liberty County (912) 767-6735
DR. SHENICE L WILLIAMS DDS
Dentist
351 W 6TH STREET
FORT STEWART, GA 31314
Liberty County (571) 801-6829
DR. JUSTIN PRESCOTT LEWIS DMD
Dentist (General Practice)
351 W 6TH STREET
FORT STEWART, GA 31314
Liberty County (912) 435-9185
RAYMOND WILHELM
Dental Assistant
351 W 6TH STREET
FORT STEWART, GA 31314
Liberty County (912) 435-7006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Koppenhaver's NPI number?

The NPI number for Jeremy Koppenhaver is 1043441108. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Jeremy Koppenhaver located?

Jeremy Koppenhaver practices at 351 W 6th Street Bldg 440, Fort Stewart, GA 31314. The listed phone number is (912) 435-7006.

What is Jeremy Koppenhaver's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jeremy Koppenhaver was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.