DR. ZENON PAUL KOSSAK (NPI# 1306109475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306109475 |
| Entity Type | Individual |
| Full Name | DR. ZENON PAUL KOSSAK |
| Credential | DDS MD |
| Practice Address |
1325 South Pine Street Suite 102 Melbourne FL 32901-3189 |
| Practice Telephone | 3217255377 |
| Practice Fax Number | 3213275145 |
| Mailing Telephone | 3217255377 |
| Mailing Fax Number | 3213275145 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN23273 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073565164 | Zenon John Kossak | Dentist | 24 Fair Acres Dr, Grosse Pointe Farms, MI 48236-3102 | 2006-05-17 |
| Street Address |
1325 SOUTH PINE STREET SUITE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033402946 | Steve A. Sedaros, Dmd,pa | Dentist | 2301 W Eau Gallie Blvd Ste 1, Melbourne, FL 32935-3128 | 2011-05-25 |
| 1740409440 | Steve Adlai Sedaros | Dentist | 2301 West Eau Gallie Blvd, Suite 101, Melbourne, FL 32935 | 2007-04-24 |
| 1194767707 | New Image Maxillofacial LLC | Dentist | 1325 S Pine St, Suite 102, Melbourne, FL 32901-3189 | 2006-06-11 |
| 1588635080 | Robert L Burns Jr. | Dentist | 481 N Harbor City Blvd, Melbourne, FL 32935-6857 | 2006-02-01 |
| 1689146839 | Andrew Langston Dmd Pllc | Dentist | 1371 Bedford Dr, Melbourne, FL 32940-1975 | 2018-12-28 |
| 1588959514 | Andrew Langston | Dentist | 1371 Bedford Dr, Melbourne, FL 32940-1975 | 2011-06-17 |
| 1740458934 | Richard W Schmid | Dentist | 1325 S Pine St, Suite 102, Melbourne, FL 32901-3189 | 2008-02-11 |
| 1639358211 | King Kim | Dentist | 1325 S Pine St, Suite 102, Melbourne, FL 32901-3189 | 2007-10-30 |
| 1740407030 | Matthew Kevin Rand | Dentist | 7777 N Wickham Rd, Suite 4, Melbourne, FL 32940-7976 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| 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.