Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EMMA J KOUKOL, DDS
Active Sole ProprietorDR. EMMA J KOUKOL, DDS is a Endodontics healthcare provider located in ACTON, Massachusetts. NPI 1114148475 is currently active in the NPPES registry. Verify at CMS.
Endodontics · ACTON, MA
Registration Details
- NPI Number
- 1114148475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (19.313626840463 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13959 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 MASSACHUSETTS AVESUITE 203ACTON, MA, 017203739Browse MA providers · Browse ZIP 01720
- Phone
- 9782631154
- Fax
- 9782631155
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.