Organization · Type 2 NPI
Avanthi Kopuri, Dmd, Msd, Mha, PLLC
Orthodontics and Dentofacial Orthopedics Dentistry · Rockledge, FL
Practice location
3010 S Fiske Blvd
Rockledge, FL 32955-4302
Fax (321) 638-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | P00000094134 (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…
About NPI 1861896474
Avanthi Kopuri, Dmd, Msd, Mha, PLLC's National Provider Identifier is 1861896474, issued on Oct 13, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rockledge, FL. The record was last updated on Aug 28, 2020.