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Mark Kozacko Dds Pa
Oral and Maxillofacial Surgery (Dentist) in Raleigh, North Carolina
NPI 1114103066

Mark Kozacko Dds Pa is a Oral and Maxillofacial Surgery (Dentist) based in Raleigh, NC and is specialized in Oral and Maxillofacial Surgery. Mark Kozacko Dds Pa practices in Raleigh, NC. The NPI Number for Mark Kozacko Dds Pa is 1114103066 and holds a License No. (North Carolina).

The current practice location address for Mark Kozacko Dds Pa is 6817 Falls Of Neuse Rd, Raleigh, NC and can be reached out via phone at 919-848-9871 and via fax at 919-848-7841.

Location: 6817 Falls Of Neuse Rd, Raleigh, NC, 27615-5386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114103066
Provider Name
Mark Kozacko Dds Pa
Credential
Provider Entity Type
Organization
Address
6817 Falls Of Neuse Rd, Raleigh, NC, 27615-5386
Phone Number
919-848-9871
Fax Number
919-848-7841
Provider Enumeration Date
01/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
899016W 05 NC
institution
Provider Business Practice Location Address Details
Address
6817 Falls Of Neuse Rd
City
Raleigh
State
North Carolina
Zip
27615-5386
Phone Number
919-848-9871
Fax Number
919-848-7841
person
Provider Business Mailing Address Details
Address
6817 Falls Of Neuse Rd
City
Raleigh
State
North Carolina
Zip
27615-5386
Phone Number
919-848-9871
Fax Number
919-848-7841
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
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.
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