DR. SCOTT KOOISTRA (D.D.S) – General Practice Dentistry, NPI 1447221320

DR. SCOTT KOOISTRA (D.D.S) is a healthcare provider. based in Jacksonville, Florida. specializing in General Practice Dentistry. They hold the professional credentials D.D.S. They hold a License No. 12009770A (IN). The NPI Number for DR. SCOTT KOOISTRA (D.D.S) is 1447221320

Main info

Male
Name
DR. SCOTT KOOISTRA (D.D.S)
NPI
1447221320
Phone
(928) 269-2353
Address
BLDG H 2005 KNIGHT LANE
Enumeration Date
30 January 2006
Last Update Date
3 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. SCOTT KOOISTRA (D.D.S)

  • BLDG H 2005 KNIGHT LANE

    NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL SVCS

    JACKSONVILLE, FL 322120140

    Phone: (928) 269-2353

    Type: Location

  • 508, Switchgrass Lane, Prairie Crossing, Grayslake, Lake County, Illinois, 60030, United States

    GRAYSLAKE, IL 600303522

    Phone: (847) 752-8360

    Type: Mailing

  • 1 PINCKNEY BLVD

    BEAUFORT, SC 299026122

    Phone: (843) 228-2683

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32212)

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Reviews

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Frequently asked questions

Where can patients find DR. SCOTT KOOISTRA (D.D.S)'s NPI?
You can confirm DR. SCOTT KOOISTRA (D.D.S) with NPI 1447221320; it appears in the national provider directory.
Is DR. SCOTT KOOISTRA (D.D.S)'s NPI currently valid?
The extract we use shows DR. SCOTT KOOISTRA (D.D.S) as active.
What field does DR. SCOTT KOOISTRA (D.D.S) work in?
You can think of DR. SCOTT KOOISTRA (D.D.S) as practicing within General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SCOTT KOOISTRA (D.D.S)?
The page summarizes Jacksonville, Florida for DR. SCOTT KOOISTRA (D.D.S); expand the address list for detail.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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