Active NPIIndividual providerSole proprietor

Dr. Emma J Koukol, DDS

Dentist, Endodontics in Acton, Massachusetts

NPI Number1114148475
Practice location
411 Massachusetts Ave, Suite 203, Acton, MA 01720-3739
Fax
978-263-1155
Last updated
July 8, 2007

Emma J Koukol is a Dentist, Endodontics based in Acton, MA. Emma J Koukol practices in Acton, MA and has the professional credentials of DDS. The NPI Number for Emma J Koukol is 1114148475 and holds a License No. 13959 (MA). The current practice location address for Emma J Koukol is 411 Massachusetts Ave, Suite 203, Acton, MA 01720-3739 and can be reached out via phone at 978-263-1154 and via fax at 978-263-1155.

Provider Profile Details

NPI Number
1114148475
Provider Name
Emma J Koukol
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
411 Massachusetts Ave, Suite 203, Acton, MA 01720-3739
Phone Number
978-263-1154
Fax Number
978-263-1155
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
411 Massachusetts Ave
Suite 203
Acton, MA 01720-3739
City
Acton
Zip
01720-3739
Phone Number
978-263-1154
Fax Number
978-263-1155
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
411 Massachusetts Ave
Suite 203
Acton, MA 01720-3739
City
Acton
State
MA
Zip
01720-3739
Phone Number
978-263-1154
Fax Number
978-263-1155

License Information

License Number
13959
License State
MA
Taxonomy
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Emma J Koukol, DDS?

The NPI number of Dr. Emma J Koukol, DDS is 1114148475. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Emma J Koukol, DDS?

Dr. Emma J Koukol, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number 13959.

Where does Dr. Emma J Koukol, DDS practice?

The practice location is 411 Massachusetts Ave, Suite 203, Acton, MA 01720-3739. The office can be reached at 978-263-1154 (phone) or 978-263-1155 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114148475 directly on the NPPES registry website.

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