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IOANNIS KOUTLAS DDS NPI 1447361332


NPI Information

NPI: 1447361332
Provider Name: IOANNIS KOUTLAS, DDS
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

PECOS Registration: Yes

Address:
515 DELAWARE ST SE
16-116 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5844
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Ioannis Koutlas, DDS is an oral and maxillofacial pathology dentist in Minneapolis, MN with 31 years of experience. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. Ioannis Koutlas, DDS NPI is 1447361332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year:1993

The provider's business location address is:

515 DELAWARE ST SE
16-116 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455-357
Phone: (612) 626-5844

The NPI 1447361332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial PathologyD11102MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.