Individual provider · Type 1 NPI
Bryon Richard Kozak, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Kenosha, WI
Practice location
10320 75th St, Suite A
Kenosha, WI 53142-7525
Fax (262) 697-5523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 5281-015 (WI) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 19-025556 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1104946912
Bryon Richard Kozak, DDS, MS's National Provider Identifier is 1104946912, issued on Mar 29, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kenosha, WI. The record was last updated on Feb 24, 2014.