Theo Koutouzis is a Periodontics in Gainesville, Florida. Theo Koutouzis practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Theo Koutouzis is 1154526796. The last update date is 2007-07-08.
Theo Koutouzis's current location address is Po Box 100405, Gainesville, Florida. You can contact this provider via phone number 3523924305 and fax number 3523923070. The mailing address for Theo Koutouzis is Po Box 100405, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theo Koutouzis |
|---|---|
| Address | Po Box 100405, Gainesville, Florida |
| Phone Number | 3523924305 |
| Fax Number | 3523923070 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154526796 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 100405 |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326100405 |
| Phone Number | 3523924305 |
| Fax Number | 3523923070 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DTP473 |
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Definition: 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 structure |
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What is the unique identification code assigned to Theo Koutouzis by the Centers for Medicare & Medicaid Services?
The Theo Koutouzis has been issued the NPI (National Provider Identifier) 1154526796. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Theo Koutouzis is physically located?
The Theo Koutouzis is situated at the following address: Po Box 100405, Gainesville, FL 326100405.
What is Theo Koutouzis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theo Koutouzis is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Theo Koutouzis receive its 1154526796 assignment from the Centers for Medicare & Medicaid Services?
The Theo Koutouzis was assigned its 1154526796 by the Centers for Medicare & Medicaid Services on 2007-06-15.
When was the information regarding Theo Koutouzis most recently updated?
The details pertaining to the Theo Koutouzis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.