Zenon John Kossak in Grosse Pointe Farms - Oral And Maxillofacial Surgery

Zenon John Kossak - NPI 1073565164

Zenon John Kossak is a Oral And Maxillofacial Surgery in Grosse Pointe Farms, Michigan. Zenon John Kossak practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Zenon John Kossak is 1073565164. The last update date is 2010-10-18.

Zenon John Kossak's current location address is 24 Fair Acres Dr, Grosse Pointe Farms, Michigan. You can contact this provider via phone number 3135904350. The mailing address for Zenon John Kossak is 24 Fair Acres Dr, Grosse Pointe Farms, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Zenon John Kossak
Address 24 Fair Acres Dr, Grosse Pointe Farms, Michigan
Phone Number 3135904350
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1073565164
Provider Enumeration Date 2006-05-17
Last Updated Date 2010-10-18

Provider Mailing Address Detail

Address 24 Fair Acres Dr
City Grosse Pointe Farms
State Michigan (MI)
Post Code 482363102
Phone Number 3135904350
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 2901009356
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Zenon John Kossak

What is the unique 10-digit identification code assigned to Zenon John Kossak by the Centers for Medicare & Medicaid Services?

The Zenon John Kossak has been issued the NPI (National Provider Identifier) 1073565164, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Zenon John Kossak is physically located?

The Zenon John Kossak is physically situated at the following address: 24 Fair Acres Dr, Grosse Pointe Farms, MI, 482363102.

What is Zenon John Kossak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Zenon John Kossak is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Zenon John Kossak receive its 1073565164 assignment from the Centers for Medicare & Medicaid Services?

The Zenon John Kossak was assigned its 1073565164 by the Centers for Medicare & Medicaid Services on 2006-05-17.

When was the Zenon John Kossak's information last updated?

The Zenon John Kossak's information was last updated on 2010-10-18.

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