Sarah Kozak is a Dental Hygienist in Wilmington, Illinois. Sarah Kozak practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Sarah Kozak is 1679634117. The last update date is 2007-07-08.
Sarah Kozak's current location address is 30430 Kavanaugh Rd, Wilmington, Illinois. You can contact this provider via phone number 8154767277. The mailing address for Sarah Kozak is 30430 Kavanaugh Rd, Wilmington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarah Kozak |
|---|---|
| Address | 30430 Kavanaugh Rd, Wilmington, Illinois |
| Phone Number | 8154767277 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1679634117 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30430 Kavanaugh Rd |
|---|---|
| City | Wilmington |
| State | Illinois (IL) |
| Post Code | 60481 |
| Phone Number | 8154767277 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sarah Kozak by the Centers for Medicare & Medicaid Services?
The Sarah Kozak has been assigned the NPI (National Provider Identifier) 1679634117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Sarah Kozak?
The Sarah Kozak is situated at 30430 Kavanaugh Rd, in the city of Wilmington, state of IL, with the zip code 60481.
What is Sarah Kozak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sarah Kozak is Dental Hygienist, and the corresponding taxonomy classification code for this specialized field is 124Q00000X.
On what date did the Sarah Kozak receive the assignment of its 1679634117 from the Centers for Medicare & Medicaid Services?
The Sarah Kozak was issued its 1679634117 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date was the information pertaining to Sarah Kozak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sarah Kozak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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