Michael Edward Kossak in Washington - Periodontics

Michael Edward Kossak - NPI 1083644892

Michael Edward Kossak is a Periodontics in Washington, District Of Columbia. Michael Edward Kossak practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michael Edward Kossak is 1083644892. The last update date is 2007-07-08.

Michael Edward Kossak's current location address is 1234 19th St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2023936154 and fax number 2022931914. The mailing address for Michael Edward Kossak is 1234 19th St Nw, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Edward Kossak
Address 1234 19th St Nw, Washington, District Of Columbia
Phone Number 2023936154
Fax Number 2022931914
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1083644892
Provider Enumeration Date 2006-07-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1234 19th St Nw
City Washington
State District Of Columbia (DC)
Post Code 200362407
Phone Number 2023936154
Fax Number 2022931914

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 3052
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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FAQs about Michael Edward Kossak

What is the unique provider identifier assigned to Michael Edward Kossak?

The Michael Edward Kossak has been issued the NPI (National Provider Identifier) 1083644892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Michael Edward Kossak's facilities are situated?

The facilities of Michael Edward Kossak are physically located at the following address: 1234 19Th St Nw, Washington, DC, 200362407.

What is the Michael Edward Kossak's specialty and taxonomy code?

The Michael Edward Kossak's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date did the Michael Edward Kossak receive the assignment of its 1083644892 from the Centers for Medicare & Medicaid Services?

The Michael Edward Kossak was issued its 1083644892 by the Centers for Medicare & Medicaid Services on 2006-07-04.

As of what date was the information regarding Michael Edward Kossak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Edward Kossak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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