IndividualActive
Stephen Koza, DMD
NPI 1861552085 · General Practice Dentistry · Lagrande, OR
Provider details
- NPI number
- 1861552085
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D8404 (OR)
Specialties & taxonomies
Dental Providers
Practice location
2502 Cove Ave
Suite D
Lagrande, OR 97850
Phone: (541) 963-4962
Approximate (ZIP-level) locationGet directions
Mailing address
63970a Mcdonald Ln
La Grande, OR 97850-5157
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.