NPI

Jonathan Coutin

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2015-10-18
Last updated
2025-01-10

Specialties

Licenses

License OR
D11536
License TX
31416
License CA
100090

Location

Practice location
550 E Washington Blvd Ste 100
City
Crescent City CA
Postal code
95531-8161
Phone
(707) 465-6925

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Crescent City, CA. 576 records in the public file.

Removal request

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