IndividualActive
Jeremy Koppenhaver, DMD
NPI 1043441108 · Prosthodontics · Fort Stewart, GA
Jeremy Koppenhaver, DMD is a Prosthodontics provider in Fort Stewart, GA (NPI 1043441108).
Provider details
- NPI number
- 1043441108
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS038003 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
351 W 6th Street
Bldg 440
Fort Stewart, GA 31314
Phone: (912) 435-7006
Approximate (ZIP-level) locationGet directions
Mailing address
351 W 6th Street
Fort Stewart, GA 31314
Registry dates
- Enumerated
- 2009-08-06
- Last updated
- 2018-10-19
Frequently asked questions
- What is Jeremy Koppenhaver's NPI number?
- Jeremy Koppenhaver's National Provider Identifier (NPI) is 1043441108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Koppenhaver's specialty?
- Jeremy Koppenhaver is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is Jeremy Koppenhaver located?
- Jeremy Koppenhaver's practice location on file with NPPES is 351 W 6th Street, Fort Stewart, GA 31314.
- What is Jeremy Koppenhaver's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Koppenhaver is (912) 435-7006.
- Is Jeremy Koppenhaver's NPI active?
- Yes — Jeremy Koppenhaver's NPI (1043441108) is active in the NPPES registry as of the last update on 2018-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.