Individual provider · Type 1 NPI

Nageswara Rao Kopuri, BDS., MS.

Orthodontics and Dentofacial Orthopedics Dentistry · Melbourne, FL

NPI number 1770612285 Active

Practice location

2555 W New Haven Ave
Melbourne, FL 32904-3701

Fax (321) 728-4925

Mailing address

726 Hawksbill Island Dr
Satellite Beach, FL 32937-3851

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN 10552 (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 1770612285

Nageswara Rao Kopuri, BDS., MS.'s National Provider Identifier is 1770612285, issued on Mar 2, 2007. 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 Jul 8, 2007.