NPI 1336352707 · live from the CMS NPI Registry
Michael J. Koufos, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Munster, IN. National Provider Identifier 1336352707, active.
NPI record
| NPI | 1336352707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1630 45th Street, Munster, IN 46321 |
| Practice phone | 219-922-7257 |
| Enumerated | May 8, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 8801 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.