GREGORY G KOZLOWSKI (NPI# 1265642219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265642219 |
| Entity Type | Individual |
| Full Name | GREGORY G KOZLOWSKI |
| Credential | DDS |
| Practice Address |
1505 Kla-ook-wa Dr Taholah WA 98587 |
| Mailing Address |
1143 Ocean Shores Blvd Sw Ocean Shores WA 98569-9783 |
| Practice Telephone | 3602764405 |
| Practice Fax Number | 3602764474 |
| Mailing Telephone | 3602764405 |
| Mailing Fax Number | 3602764474 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2570 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA | BK7093216 | 01 |
| Street Address |
1505 KLA-OOK-WA DR |
| City | TAHOLAH |
| State | WA |
| Zip Code | 98587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518180744 | Quinault Chemical Depedency | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587-0219 | 2007-04-10 |
| 1225657844 | Pavel Mitin | Pharmacist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2020-04-14 |
| 1932678224 | Tricia Dee Bumgarner | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2018-11-16 |
| 1851563860 | Mary Louise Hart | Nurse Practitioner | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2008-03-31 |
| 1477737781 | Holly Anne Mullins | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-12-21 |
| 1750573911 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-08-13 |
| 1457542847 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-08-09 |
| 1255533196 | Patricia Ohlsen | Counselor | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194985499 | Lisa Hall | Emergency Medical Technician, Paramedic | 1505 Kal-ook-wah Drive, Taholah, WA 98587 | 2008-06-11 |
| 1427171628 | Roger Saux Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1505 Klaookwa Drive, Taholah, WA 98587 | 2007-04-10 |
| 1609997766 | Alyson Gale Roby | Family Medicine | 1505 Kla-ook-wah Dr, Taholah, WA 98587 | 2007-04-03 |
| 1588799571 | Hope Errin Edwards | Counselor | 1505 Kla-ook-wa Way, Taholah, WA 98587 | 2007-02-22 |
| 1093888547 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2006-11-15 |
| 1538240155 | Taholah School District | Local Education Agency (LEA) | 600 Chitwhin Drive, Taholah, WA 98587 | 2006-10-18 |
| 1548502016 | Alex Eugene Fabini | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2013-03-22 |
| 1962771782 | Ernie V Sanchez | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2011-12-22 |
| 1861700080 | Gary D Faber | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2010-09-22 |
| 1912238080 | Dawn Rae Bankson | Nurse Practitioner | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2010-01-28 |
| Find all providers in zip 98587 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.