NPI registry record
Provider & location details
- Registered organization
- AVANTHI KOPURI, DMD, MSD, MHA, PLLC
- NPI number
- 1629617154
- Practice address
- 2555 W NEW HAVEN AVE, MELBOURNE, FL, 32904-3701
- Telephone
- (321) 728-9999
- Imported into directory
- Oct 31, 2026
The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.
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Provider listed
Practice location fax
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(321) 728-5925
NPI 1629617154
2555 W NEW HAVEN AVE, MELBOURNE, FL, 32904-3701
Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.
Practice location fax reported by the provider to NPPES
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