Koster, Jessica

Koster, Jessica is an sole proprietor health care provider with primary practice located at 10 Saint Johns Medical Park Dr Ste C , St Augustine FL 32086-5202. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Koster, Jessica can be contacted via phone (210) 450-3715.

Contact Information

Primary practice address
10 Saint Johns Medical Park Dr Ste C St Augustine FL 32086-5202
Phone: (210) 450-3715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 38796 Texas
Dental Providers / Periodontics 1223P0300X DN29830 Florida

Profile Details

NPI number 1508590647
LBN Legal business name Koster, Jessica
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2022
Last updated Apr 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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