Avanthi Kopuri, DMD, MSD, Mha, PLLC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Rockledge, FL
NPI 1861896474 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1861896474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- P00000094134 (FL)
- Legal business name
- AVANTHI KOPURI, DMD, MSD, MHA, PLLC
- Practice address
- 3010 S Fiske Blvd
Rockledge, FL 32955-4302 - Phone
- (321) 638-4455
- Fax
- (321) 638-1203
- NPI assigned
- Oct 13, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Avanthi Kopuri, DMD, MSD, MHA
- Title
- President
- Phone
- (305) 788-4415
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Avanthi Kopuri DMD MSD Mha PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | P00000094134 | FL | Yes |
Addresses
Primary practice location
3010 S Fiske Blvd
Rockledge, FL 32955-4302
Mailing address
3010 S Fiske Blvd
Rockledge, FL 32955-4302
Phone (321) 638-4455
Other names
- Central Florida Orthodontic Specialists
Other providers in Rockledge, FL
- Avril Asson
- Atlantic Space Coast Gi PA
- Audiology Services Company USA, LLC
- Courtney Jayne Austin
- Meagan Kathleen Austin
- Margeths Ayala-Cruz
- Jennifer Lyn Ayrey
- Nabil Aziz
- Debra L Babcock
- Kathleen Margaret Babineau
All providers in Rockledge, FL · Orthodontics and Dentofacial Orthopedics Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.