Koss, David Lawrence

Koss, David Lawrence is an individual health care provider with primary practice located at 99 Fieldstone Dr , Hartsdale NY 10530-1564. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Koss, David Lawrence can be contacted via phone (914) 997-8820.

Contact Information

Primary practice address
99 Fieldstone Dr Hartsdale NY 10530-1564
Fax: (914) 997-9627
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0033555 New York

Profile Details

NPI number 1689663312
LBN Legal business name Koss, David Lawrence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689663312 NPPES
New York MEDICAID 00507671

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