Provider Demographics
NPI:1750551545
Name:KOTEVSKA, VENETA (DDS)
Entity type:Individual
Prefix:
First Name:VENETA
Middle Name:
Last Name:KOTEVSKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 PAOLI PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9681
Mailing Address - Country:US
Mailing Address - Phone:812-923-9004
Mailing Address - Fax:812-923-9088
Practice Address - Street 1:4801 PAOLI PIKE STE 101
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9681
Practice Address - Country:US
Practice Address - Phone:812-923-9004
Practice Address - Fax:812-923-9088
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011378A1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics