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NPI Code Detail

MEDICARE: STEVEN ALAN KOFF DMD

MEDICARE: STEVEN ALAN KOFF DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry13968MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1990325OTHERUNITED CONCORDIA
2XO8538OTHERBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851303515
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN ALAN KOFF DMD
Provider Business Mailing Address
First Line : 270 LITTLETON RD
Second Line : UNIT #12
City : WESTFORD
State : MA
Zip : 01886-3526
Country : US
Telephone Number : 978-692-3051
Fax Number : 978-692-8875
Provider Business Practice Location Address
First Line : 270 LITTLETON RD
Second Line : UNIT #12
City : WESTFORD
State : MA
Zip : 01886-3526
Country : US
Telephone Number : 978-692-3051
Fax Number : 978-692-8875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 01/20/2009

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