DR. JESSICA KOSTER DDS
NPI 1508590647
Dentist - Periodontics in St Augustine, FL

NPI Status: Active since July 14, 2022

Contact Information

10 SAINT JOHNS MEDICAL PARK DR STE C
ST AUGUSTINE, FL
ZIP 32086
Phone: (210) 450-3715

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  • Individual
  • Female
  • Dentist
  • Periodontics

About JESSICA KOSTER

This page provides the complete NPI Profile along with additional information for Jessica Koster, a provider established in St Augustine, Florida with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1508590647 assigned on July 2022. The practitioner's primary taxonomy code is 1223P0300X with license number DN29830 (FL). The provider is registered as an individual and her NPI record was last updated April 2025.

NPI
1508590647
Provider Name
DR. JESSICA KOSTER DDS
Gender
Female
Entity Type
Individual
Location Address
10 SAINT JOHNS MEDICAL PARK DR STE C ST AUGUSTINE, FL 32086
Location Phone
(210) 450-3715
Mailing Address
130 SHIPYARD WAY APT 1436 SAINT AUGUSTINE, FL 32084
Mailing Phone
(214) 608-8046
Is Sole Proprietor?
Yes
Enumeration Date
07-14-2022
Last Update Date
04-29-2025
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A dentist like Jessica Koster is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
DN29830
License State
FL
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

38796 (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508590647
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508109068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 0 + 9 + 0 + 6 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1508590647 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922681337DR. HAILEY WILSON MCKINLEY DDS, MSD
Individual
Dentist (Periodontics)10 SAINT JOHNS MEDICAL PARK DR STE C
ST AUGUSTINE, FL 32086
(904) 794-1000
1932623733FLORIDA SEDATION, IMPLANT AND DENTAL SURGERY ASSOCIATES, LLC
Organization
Dentist (Periodontics)10 SAINT JOHNS MEDICAL PARK DR STE C
SAINT AUGUSTINE, FL 32086
(904) 794-1000
1225871254DR. ROBERT EV KELLEY III D.M.D., M.S.
Individual
Dentist (Periodontics)10 SAINT JOHNS MEDICAL PARK DR STE C
SAINT AUGUSTINE, FL 32086
(904) 467-5507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508590647, enumerated in the NPI registry as an "individual" on July 14, 2022

The provider is located at 10 Saint Johns Medical Park Dr Ste C St Augustine, Fl 32086 and the phone number is (210) 450-3715

The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on July 14, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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