Mark A Kolozenski in Orland Park - Periodontics
Mark A Kolozenski - NPI 1831316157
Mark A Kolozenski is a Periodontics in Orland Park, Illinois. Mark A Kolozenski practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark A Kolozenski is 1831316157. The last update date is 2014-05-20.
Mark A Kolozenski's current location address is 14654 Hollow Tree Rd, Orland Park, Illinois. You can contact this provider via phone number 7082206640. The mailing address for Mark A Kolozenski is 14654 Hollow Tree Rd, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Kolozenski |
|---|---|
| Address | 14654 Hollow Tree Rd, Orland Park, Illinois |
| Phone Number | 7082206640 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1831316157 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2014-05-20 |
Provider Mailing Address Detail
| Address | 14654 Hollow Tree Rd |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 604627402 |
| Phone Number | 7082206640 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21001669 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Mark A Kolozenski by the Centers for Medicare & Medicaid Services?
The Mark A Kolozenski has been assigned the NPI (National Provider Identifier) 1831316157. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark A Kolozenski's facilities are geographically located?
The facilities of Mark A Kolozenski are physically situated at the following location: 14654 Hollow Tree Rd, Orland Park, IL, 604627402.
What is Mark A Kolozenski's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark A Kolozenski is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did Mark A Kolozenski receive its 1831316157 assignment from the Centers for Medicare & Medicaid Services?
The Mark A Kolozenski was assigned its 1831316157 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark A Kolozenski's details last updated?
The information pertaining to the Mark A Kolozenski, including its address, specialty, and other details, was most recently updated on 2014-05-20.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC