Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAPAN KOTICHA, BDS, MDS
ActiveTAPAN KOTICHA, BDS, MDS is a Periodontology healthcare provider located in EDMOND, Oklahoma. NPI 1497023196 is currently active in the NPPES registry. Verify at CMS.
Periodontology · EDMOND, OK
Registration Details
- NPI Number
- 1497023196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2011 (14.707263302146 yrs)
- Last Updated
- Dec 14, 2023
- Licenses
-
2901020564 (MI)72 (OK)
Practice Information
- Address
-
16430 MUIRFIELD PLACEEDMOND, OK, 730139161Browse OK providers · Browse ZIP 73013
- Phone
- 4056960908
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.