BOB KOENITZER DDS, INC.
NPI 1063690436
Dentist - General Practice in Petaluma, CA

Q: What is Bob Koenitzer Dds, Inc.'s NPI number?

The NPI number for Bob Koenitzer Dds, Inc. is 1063690436. It was assigned to this organization in the NPPES registry on February 7, 2008.

Q: What is Bob Koenitzer Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 07, 2008

101 LYNCH CREEK WAY, PETALUMA, CA 94954(707) 766-6666(707) 763-1614 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bob Koenitzer Dds, Inc. NPPES

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

BOB KOENITZER DDS, INC. (NPI 1063690436) is a healthcare organization registered as a general practice in Petaluma, California and active in the NPI registry since February 2008. The organization lists Bob David Koenitzer, Owner, as its authorized official.

NPPES Registry Identity

NPI1063690436

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBOB KOENITZER DDS, INC.

Location Address101 LYNCH CREEK WAYPetaluma, CA 94954-8301

Mailing Address101 Lynch Creek WayPetaluma, CA 94954-8301 · (707) 766-6666 · Fax (707) 763-1614

Phone(707) 766-6666

Fax(707) 763-1614

Organization SubpartNo

Authorized OfficialBob David KoenitzerOwner · (707) 766-6666

Enumeration DateFebruary 7, 2008

✔ NPI 1063690436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 34624

Definition

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.

101 LYNCH CREEK WAY, Petaluma, CA 94954

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ROBERT DAVID KOENITZER DDS

Dentist (General Practice)

101 LYNCH CREEK WAY
PETALUMA, CA 94954

Sonoma County (707) 762-6715

DR. AUSTIN TEHUIARII HARTFORD DMD

Dentist

101 LYNCH CREEK WAY
PETALUMA, CA 94954

Sonoma County (707) 766-6666

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 Bob Koenitzer Dds, Inc.'s NPI number?

The NPI number for Bob Koenitzer Dds, Inc. is 1063690436. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is Bob Koenitzer Dds, Inc. located?

Bob Koenitzer Dds, Inc. is located at 101 Lynch Creek Way, Petaluma, CA 94954. The listed phone number is (707) 766-6666.

What is Bob Koenitzer Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bob Koenitzer Dds, Inc. was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.