NPI 1386311504 · live from the CMS NPI Registry
Emily Barbara Koufos, DMD, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Munster, IN. National Provider Identifier 1386311504, active.
NPI record
| NPI | 1386311504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1734 45th St, Munster, IN 46321 |
| Practice phone | 219-924-1440 |
| Mailing address | 9110 Elmwood Dr, Munster, IN 46321 |
| Enumerated | August 25, 2021 |
| Last updated | August 25, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12013598A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.