Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ioannis Koutlas, DDS

Individual provider Oral and Maxillofacial Pathology Dentistry · NPI 1447361332

Ioannis Koutlas, DDS is an Oral Surgery in Minneapolis, Minnesota. Graduated from University of Minnesota School of Dentistry in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
33
Trained at
University of Minnesota School of Dentistry
Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

515 Delaware St SE 16-116 Moos Tower
Minneapolis, MN 55455-0357
Phone: (612) 626-5844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence D11102 (MN)

Record details

NPI number1447361332
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address515 Delaware St Se, 16-116 Moos Tower, Minneapolis, MN 55455-0357

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesPATHOLOGY
Medical schoolUNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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