OrganizationActive
Bob Koenitzer DDS, Inc.
NPI 1063690436 · General Practice Dentistry · Petaluma, CA
Bob Koenitzer DDS, Inc. is a General Practice Dentistry organization in Petaluma, CA (NPI 1063690436).
Provider details
- NPI number
- 1063690436
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bob Koenitzer, Owner(707) 766-6666
- License
- 34624 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
101 Lynch Creek Way
Petaluma, CA 94954-8301
Phone: (707) 766-6666
Fax: (707) 763-1614
Street-level locationGet directions
Mailing address
101 Lynch Creek Way
Petaluma, CA 94954-8301
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2008-02-07
Frequently asked questions
- What is Bob Koenitzer DDS, Inc.'s NPI number?
- Bob Koenitzer DDS, Inc.'s National Provider Identifier (NPI) is 1063690436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bob Koenitzer DDS, Inc.?
- Bob Koenitzer DDS, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Bob Koenitzer DDS, Inc. located?
- Bob Koenitzer DDS, Inc.'s practice location on file with NPPES is 101 Lynch Creek Way, Petaluma, CA 94954-8301.
- What is Bob Koenitzer DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bob Koenitzer DDS, Inc. is (707) 766-6666.
- Who is the authorized official for Bob Koenitzer DDS, Inc.?
- The authorized official listed on Bob Koenitzer DDS, Inc.'s NPPES record is Bob Koenitzer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bob Koenitzer DDS, Inc.'s NPI active?
- Yes — Bob Koenitzer DDS, Inc.'s NPI (1063690436) is active in the NPPES registry as of the last update on 2008-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.