Individual provider · Type 1 NPI

Avanthi Kopuri, DMD, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Melbourne, FL

NPI number 1699176990 Active

Practice location

2555 W New Haven Ave
Melbourne, FL 32904-3701

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN19053 (FL)

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…

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About NPI 1699176990

Avanthi Kopuri, DMD, M.S.D.'s National Provider Identifier is 1699176990, issued on Sep 6, 2014. 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.