Nageswara Rao Kopuri in Melbourne - Orthodontics And Dentofacial Orthopedics
Nageswara Rao Kopuri - NPI 1770612285
Nageswara Rao Kopuri is a Orthodontics And Dentofacial Orthopedics in Melbourne, Florida. Nageswara Rao Kopuri practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Nageswara Rao Kopuri is 1770612285. The last update date is 2007-07-08.
Nageswara Rao Kopuri's current location address is 2555 W New Haven Ave, Melbourne, Florida. You can contact this provider via phone number 3217289999 and fax number 3217284925. The mailing address for Nageswara Rao Kopuri is 2555 W New Haven Ave, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nageswara Rao Kopuri |
|---|---|
| Address | 2555 W New Haven Ave, Melbourne, Florida |
| Phone Number | 3217289999 |
| Fax Number | 3217284925 |
| Sole Proprietor | Y |
| Credentials | BDS.,MS. |
NPI Number Detail
| NPI Number | 1770612285 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2555 W New Haven Ave |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329043701 |
| Phone Number | 3217289999 |
| Fax Number | 3217284925 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN 10552 |
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Definition: 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 rel |
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What is the Nageswara Rao Kopuri's unique identification number?
The Nageswara Rao Kopuri has been assigned the NPI (National Provider Identifier) Number 1770612285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Nageswara Rao Kopuri's facilities are geographically located?
The facilities of Nageswara Rao Kopuri are physically situated at the following location: 2555 W New Haven Ave, Melbourne, FL, 329043701.
What is the Nageswara Rao Kopuri's specialty and taxonomy code?
The Nageswara Rao Kopuri's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770612285 to Nageswara Rao Kopuri?
The Centers for Medicare & Medicaid Services assigned the 1770612285 to Nageswara Rao Kopuri on 2007-03-02.
As of what date was the information regarding Nageswara Rao Kopuri, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nageswara Rao Kopuri, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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