DR. JEFFREY HOWARD KOOTMAN DMD
NPI 1205991858
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Active since December 26, 2006
702 E BELL RD, B103, PHOENIX, AZ 85022(602) 493-1140(602) 493-5328 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Howard Kootman Dmd NPPES

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

DR. JEFFREY HOWARD KOOTMAN DMD (NPI 1205991858) is an individual oral and maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (3369) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1205991858
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEFFREY HOWARD KOOTMANCredential: DMD
Location Address702 E BELL RD, B103Phoenix, AZ 85022
Mailing Address702 E Bell Rd, B103Phoenix, AZ 85022 · (602) 493-1140 · Fax (602) 493-5328
Fax(602) 493-5328
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205991858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AZ · 3369
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
702 E BELL RD, Phoenix, AZ 85022

Other Identifiers 2

Medicaid093229AZ
Medicare ID-Type UnspecifiedDMD3369

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Dentist (Pediatric Dentistry)
702 E BELL RD, SUITE #116
PHOENIX, AZ 85022
Dentist (General Practice)
702 E BELL RD, SUITE 110
PHOENIX, AZ 85022
Dentist (Orthodontics and Dentofacial Orthopedics)
702 E BELL RD, STE 100
PHOENIX, AZ 85022
Dentist (Endodontics)
702 E BELL RD, SUITE 111
PHOENIX, AZ 85022
Dentist (General Practice)
702 E BELL RD, STE. 118
PHOENIX, AZ 85022
Dentist (Oral and Maxillofacial Surgery)
702 E BELL RD, SUITE 120
PHOENIX, AZ 85022
Dentist (Endodontics)
702 E BELL RD, SUITE #111
PHOENIX, AZ 85022
Internal Medicine
702 E BELL RD, 112
PHOENIX, AZ 85022

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 Jeffrey Kootman's NPI number?

The NPI number for Jeffrey Kootman is 1205991858. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Jeffrey Kootman located?

Jeffrey Kootman practices at 702 E Bell Rd B103, Phoenix, AZ 85022. The listed phone number is (602) 493-1140.

What is Jeffrey Kootman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Jeffrey Kootman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Jeffrey Kootman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Kootman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.