DR. IVAN KOUTSOPATRIY, DDS

Dentist - Prosthodontics

Active Individual
NPI: 1497378053

Practice Address

2817 ROCK MERRITT AVE
WOMACK ARMY MEDICAL CENTER
Fort Bragg, NC 28310

Phone: (910) 907-8922

Specialties

Specialty Code Primary License
Dentist - Prosthodontics 1223P0700X Yes 30.026114 (OH)
Dentist - General Practice 1223G0001X No 30.026114 (OH)
Student in an Organized Health Care Education/Training Program 390200000X No 30.026114 (OH)
Dentist 122300000X No 30.026114 (OH)

Frequently Asked Questions

NPI 1497378053 is the National Provider Identifier for DR. IVAN KOUTSOPATRIY, DDS, a Dentist - Prosthodontics provider located in Fort Bragg, NC. This NPI was enumerated on May 18, 2020.
DR. IVAN KOUTSOPATRIY, DDS practices at 2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, Fort Bragg, NC 28310.

Quick Facts

NPI
1497378053
Type
Individual
Enumerated
May 18, 2020
Last Updated
Oct 30, 2025

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