Doctor profile · Federal record
Dr. Jessica Koster, DDS
Periodontist · Dentist · St Augustine, FL
- NPI 1508590647
- 4 yrs on file
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
10 Saint Johns Medical Park Dr Ste C
St Augustine, FL 320865202
(210) 450-3715 - Mailing address
-
130 Shipyard Way Apt 1436
Saint Augustine, FL 320844233
Credentials & registration
- NPI registered
- July 2022 — 4 yrs on file
- Profile last updated
- April 29, 2025
- Specialty taxonomy
- 1223P0300X — NUCC code
- State licenses (2)
- Florida #DN29830 · Texas #38796
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508590647. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $25.29 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
25
Patients
15
Total drug cost
$109
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 25 | 15 | $109 |
Frequently asked questions
What is Dr. Jessica Koster's medical specialty?
Dr. Jessica Koster practices Periodontist in St Augustine, FL.
Where does Dr. Jessica Koster practice?
Dr. Jessica Koster practices at 10 Saint Johns Medical Park Dr Ste C, St Augustine, FL 320865202. Office phone: 2104503715.
What is Dr. Jessica Koster's NPI?
Dr. Jessica Koster's National Provider Identifier (NPI) is 1508590647, issued by NPPES.