Dr. Emma J Koukol
Endodontist
411 Massachusetts Ave Suite 203
Acton
, Massachusetts 01720-3739
Dr. Emma J Koukol
Endodontist
411 Massachusetts Ave Suite 203
Acton
, Massachusetts 01720-3739
(978) 263-1155
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Emma J Koukol
- 411 Massachusetts Ave Suite 203
- Acton, MA
- Zip : 01720-3739
- Fax : (978) 263-1155
- Phone : (978) 263-1154
Second Address
- Dr. Emma J Koukol
- 411 Massachusetts Ave Suite 203
- Acton, MA
- Zip : 01720-3739
- Fax : (978) 263-1155
- Phone : (978) 263-1154
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 13959 | MA |
National Provider Identifier
| NPI | 1114148475 |
|---|---|
| Provider Name | Dr. Emma J Koukol |
| First Address | Acton, MA 01720-3739 |
| Second Address | Acton, MA 01720-3739 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.