Individual provider · Type 1 NPI
Zenon John Kossak, DDS
Oral and Maxillofacial Surgery (Dentist) · Grosse Pointe Farms, MI
NPI number
1073565164
Active
Practice location
24 Fair Acres Dr
Grosse Pointe Farms, MI 48236-3102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901009356 (MI) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
About NPI 1073565164
Zenon John Kossak, DDS's National Provider Identifier is 1073565164, issued on May 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grosse Pointe Farms, MI. The record was last updated on Oct 18, 2010.