Individual provider · Type 1 NPI
Douglas John Kosek, DDS
General Practice Dentistry · South Bend, IN
NPI number
1780704247
Active
Practice location
413 W Jefferson Blvd
South Bend, IN 46601-1514
Fax (574) 232-2739
Mailing address
533 N Coquillard Dr
South Bend, IN 46617-2554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12009873 (IN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1780704247
Douglas John Kosek, DDS's National Provider Identifier is 1780704247, issued on Mar 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.