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Dr. Mark Franklin Kozacko, DDSPA
Oral and Maxillofacial Surgery (Dentist) in Raleigh, North Carolina
NPI 1952337685

Mark Franklin Kozacko is a Oral and Maxillofacial Surgery (Dentist) based in Raleigh, NC and is specialized in Oral and Maxillofacial Surgery. Mark Franklin Kozacko practices in Raleigh, NC and has the professional credentials of DDSPA. The NPI Number for Mark Franklin Kozacko is 1952337685 and holds a License No. 6836 (North Carolina).

The current practice location address for Mark Franklin Kozacko 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
person
Provider Profile Details
NPI Number
1952337685
Provider Name
Mark Franklin Kozacko
Credential
DDSPA
Provider Entity Type
Individual
Gender
Male
Address
6817 Falls Of Neuse Rd, Raleigh, NC, 27615-5386
Phone Number
919-848-9871
Fax Number
919-848-7841
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9016W 01 NC BCBS NC PROVIDER NUMBER
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.
6836 (North Carolina)
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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