Dr. Ivan Sergeyevich Koutsopatriy
DDS | Prosthodontics
2817 Rock Merritt Ave, Womack Army Medical Center, Fort Bragg
North Carolina, 28310-0001
910-907-8922 Maps & DirectionsDr. Ivan Sergeyevich Koutsopatriy is a Fort Bragg, North Carolina based Prosthodontics who is specialized in
Prosthetic Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ivan Sergeyevich Koutsopatriy is
30.026114 for Prosthetic Dentistry in Ohio. His current practice location is
2817 Rock Merritt Ave, Womack Army Medical Center, Fort Bragg. Patients can reach him at
910-907-8922.
Dr. Ivan Sergeyevich Koutsopatriy specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Dr. Ivan Sergeyevich Koutsopatriy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Ivan Sergeyevich Koutsopatriy |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2817 Rock Merritt Ave, Womack Army Medical Center, Fort Bragg,
North Carolina, 28310-0001 |
| Phone: | 910-907-8922 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1497378053 |
| NPI Enumeration Date: | 18 May, 2020 |
| NPI Last Update On: | 30 Oct, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ivan Sergeyevich Koutsopatriy are as mentioned below.
| License Number | Specialization | State | Status | |
| 30.026114 | Prosthetic Dentistry | Ohio | Primary | |
| 30.026114 | General Practice Dentistry | Ohio | Secondary | |
| 30.026114 | Student in an Organized Health Care Education/Training Program | Ohio | Secondary | |
| 30.026114 | Dentistry | Ohio | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2817 Rock Merritt Ave, Womack Army Medical Center
Fort Bragg, North Carolina |
| Zip: | 28310-0001 |
| Phone Number: | 910-907-8922 |
Patients can reach Dr. Ivan Sergeyevich Koutsopatriy at
2817 Rock Merritt Ave, Womack Army Medical Center, Fort Bragg, North Carolina or can
call to book an appointment on 910-907-8922.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.