# KOU DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346712940
- **Authorized official:** DR. KEITH KOU DDS (DENTIST)
- **Authorized official phone:** (219) 319-1177

## Contact information

- **Practice address:** 340 INDIANAPOLIS BLVD, SCHERERVILLE, IN 46375-1210
- **Practice address phone:** (219) 319-1177
- **Mailing address:** 340 INDIANAPOLIS BLVD, SCHERERVILLE, IN 46375-1210
- **Mailing address phone:** (219) 319-1177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2018
- **Last updated:** 02/05/2025
