Organization · Type 2 NPI

Avanthi Kopuri, Dmd, Msd, Mha, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Melbourne, FL

NPI number 1629617154 Active

Practice location

2555 W New Haven Ave
Melbourne, FL 32904-3701

Call (321) 728-9999 Map

Fax (321) 728-5925

Mailing address

10322 Kensington Shore Dr
Orlando, FL 32827-7307

Other practice locations

3010 S Fiske Blvd, Rockledge, FL 32955-4302 · (321) 638-4455
730 Sand Lake Rd Ste 124, Orlando, FL 32809-7747 · (407) 850-2355

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

3 other providers at this address

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About NPI 1629617154

Avanthi Kopuri, Dmd, Msd, Mha, PLLC's National Provider Identifier is 1629617154, issued on Jan 1, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Melbourne, FL. The record was last updated on Jan 1, 2020.