Individual provider · Type 1 NPI

Theo Koutouzis, DDS

Periodontics · Gainesville, FL

NPI number 1154526796 Active

Practice location

1600 SW Archer Rd, D4-4
Gainesville, FL 32610-3003

Call (352) 273-5800 Map

Fax (352) 392-3070

Mailing address

PO Box 100405
Gainesville, FL 32610-0405

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDTP473 (FL)

Periodontics: 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.

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About NPI 1154526796

Theo Koutouzis, DDS's National Provider Identifier is 1154526796, issued on Jun 15, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.