Kozacko, Mark Franklin

Kozacko, Mark Franklin is an individual health care provider with primary practice located at 6817 Falls Of Neuse Rd Suite 101, Raleigh NC 27615-5386. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kozacko, Mark Franklin can be contacted via phone (919) 848-9871.

Contact Information

Primary practice address
6817 Falls Of Neuse Rd Suite 101 Raleigh NC 27615-5386
Phone: (919) 848-9871
Fax: (919) 848-7841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6836 North Carolina

Profile Details

NPI number 1952337685
LBN Legal business name Kozacko, Mark Franklin
Credentials DDS PA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 9th, 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 1952337685 NPPES
North Carolina Other 9016W BCBS NC PROVIDER NUMBER

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