Dr. Ivan Sergeyevich Koutsopatriy is a Fort Gordon, Georgia based Dentist who is specialized in General Practice 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 Dentistry in Ohio. His current practice location is Bldg 38801 Academic Dr Suite B&c, Fort Gordon. Patients can reach him at 706-787-6927.
Dr. Ivan Sergeyevich Koutsopatriy is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
Bldg 38801 Academic Dr Suite B&c, Fort Gordon, Georgia, 30905
Phone:
706-787-6927
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:
27 Dec, 2023
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
Dentistry
Ohio
Primary
30.026114
General Practice Dentistry
Ohio
Secondary
30.026114
Student in an Organized Health Care Education/Training Program
Ohio
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bldg 38801 Academic Dr Suite B&c, Fort Gordon, Georgia
Zip:
30905
Phone Number:
706-787-6927
Patients can reach Dr. Ivan Sergeyevich Koutsopatriy at Bldg 38801 Academic Dr Suite B&c, Fort Gordon, Georgia or can call to book an appointment on 706-787-6927. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.