Kakouras, Athanasios Panagiotis

Kakouras, Athanasios Panagiotis is an individual health care provider with primary practice located at 11020 S Tryon St Suite 401, Charlotte NC 28273-6530. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kakouras, Athanasios Panagiotis can be contacted via phone (704) 504-8070.

Contact Information

Primary practice address
11020 S Tryon St Suite 401 Charlotte NC 28273-6530
Phone: (704) 504-8070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7838 North Carolina

Profile Details

NPI number 1669466371
LBN Legal business name Kakouras, Athanasios Panagiotis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 18th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669466371 NPPES
North Carolina MEDICAID 89902XJ
North Carolina Other 902XJ

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