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Ivan Koutsopatriy, DDS
NPI 1497378053 · on the registry since 2020
Practice
- Address
- 2817 Rock Merritt Ave
Womack Army Medical Center
Fort Bragg, NC 28310 - Phone
- (910) 907-8922
- Clinicians at this address
- 812
Additional practice sites
- Smoke Bomb Hill Dental Clinic, Fort Bragg, NC
- 1838 Normandy Dr, Fort Bragg, NC
Registry record
- Primary taxonomy
- Prosthodontics
1223P0700X
- Also registered as
- General Practice Dentistry
Student in an Organized Health Care Education/Training Program
Dentist - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-03
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina