Individual provider · Type 1 NPI

Michael Edward Kossak, D.D.S

Periodontics · Washington, DC

NPI number 1083644892 Active

Practice location

1234 19th St NW, Suite # 308
Washington, DC 20036-2407

Call (202) 393-6154 Map

Fax (202) 293-1914

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X3052 (DC)

Periodontics: 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 structures and tissues.

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About NPI 1083644892

Michael Edward Kossak, D.D.S's National Provider Identifier is 1083644892, issued on Jul 4, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.