Kouvalis, Elias

Kouvalis, Elias is an individual health care provider with primary practice located at 13911 Ridgedale Dr Suite 395, Minnetonka MN 55305-1771. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kouvalis, Elias can be contacted via phone (952) 545-8603.

Contact Information

Primary practice address
13911 Ridgedale Dr Suite 395 Minnetonka MN 55305-1771
Phone: (952) 545-8603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11378 Minnesota

Profile Details

NPI number 1457412264
LBN Legal business name Kouvalis, Elias
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 15th, 2011 - about 13 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 1457412264 NPPES
Minnesota MEDICAID 603023800

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