Individual
DR. CARLY KOUTROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
GRUBER RD, FORT BRAGG, NC 28310-0001
(910) 396-1572
Mailing address
1423 MICAHS WAY N, SPRING LAKE, NC 28390-2869
(219) 713-5637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013686A
IN
1223G0001X
General Practice Dentistry
12013686A
IN
Other
Enumeration date
07/15/2021
Last updated
10/28/2025
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