Active NPIIndividual providerSole proprietor

Dr. Jeffrey Koslow, DMD

Dentist, General Practice in Deptford, New Jersey

NPI Number1336390582
Practice location
1104 Cooper St, Deptford, NJ 08096-3012
Fax
856-384-8308
Last updated
October 7, 2008

Jeffrey Koslow is a Dentist, General Practice based in Deptford, NJ. Jeffrey Koslow practices in Deptford, NJ and has the professional credentials of DMD. The NPI Number for Jeffrey Koslow is 1336390582 and holds a License No. 12612 (NJ). The current practice location address for Jeffrey Koslow is 1104 Cooper St, Deptford, NJ 08096-3012 and can be reached out via phone at 856-845-1200 and via fax at 856-384-8308.

Provider Profile Details

NPI Number
1336390582
Provider Name
Jeffrey Koslow
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1104 Cooper St, Deptford, NJ 08096-3012
Phone Number
856-845-1200
Fax Number
856-384-8308
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 7, 2008
Last Update Date
October 7, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1104 Cooper St
Deptford, NJ 08096-3012
Zip
08096-3012
Phone Number
856-845-1200
Fax Number
856-384-8308
Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
1104 Cooper St
Deptford, NJ 08096-3012
City
Deptford
State
NJ
Zip
08096-3012
Phone Number
856-845-1200
Fax Number
856-384-8308

License Information

License Number
12612
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeffrey Koslow, DMD?

The NPI number of Dr. Jeffrey Koslow, DMD is 1336390582. It was assigned on October 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey Koslow, DMD?

Dr. Jeffrey Koslow, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 12612.

Where does Dr. Jeffrey Koslow, DMD practice?

The practice location is 1104 Cooper St, Deptford, NJ 08096-3012. The office can be reached at 856-845-1200 (phone) or 856-384-8308 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336390582 directly on the NPPES registry website.

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