Kosakoski, Edward Dwight
Kosakoski, Edward Dwight is an individual health care provider with primary practice located at 2515 Countryside Blvd Ste A , Clearwater FL 33763-1603. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kosakoski, Edward Dwight can be contacted via phone (727) 475-7519.Contact Information
Primary practice address
2515 Countryside Blvd Ste A
Clearwater FL 33763-1603
Phone: (727) 475-7519
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DN10933 | Florida |
| Dental Providers / Endodontics | 1223E0200X | 36125 | California |
Profile Details
| NPI number | 1457482168 |
|---|---|
| LBN Legal business name | Kosakoski, Edward Dwight |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457482168 | NPPES |
| California | Other | 330924971 | TAX ID |
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