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Douglas John Kosek, DDS
General Practice Dentistry in South Bend, Indiana
NPI 1780704247

Douglas John Kosek is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Douglas John Kosek practices in South Bend, IN and has the professional credentials of DDS. The NPI Number for Douglas John Kosek is 1780704247 and holds a License No. 12009873 (Indiana).

The current practice location address for Douglas John Kosek is 413 W Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-232-2992 and via fax at 574-232-2739.

Location: 413 W Jefferson Blvd, South Bend, IN, 46617-2554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780704247
Provider Name
Douglas John Kosek
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
413 W Jefferson Blvd, South Bend, IN, 46617-2554
Phone Number
574-232-2992
Fax Number
574-232-2739
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
413 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1514
Phone Number
574-232-2992
Fax Number
574-232-2739
person
Provider Business Mailing Address Details
Address
413 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1514
Phone Number
574-232-2992
Fax Number
574-232-2739
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12009873 (Indiana)
Definition
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.
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