DR. EDWARD DWIGHT KOSAKOSKI (NPI# 1457482168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457482168 |
Entity Type | Individual |
Full Name | DR. EDWARD DWIGHT KOSAKOSKI |
Credential | D.M.D |
Practice Address |
2515 Countryside Blvd Ste A Clearwater FL 33763-1603 |
Mailing Address |
12550 6th Street East Treasure Island FL 33706 |
Practice Telephone | 7274757519 |
Mailing Telephone | (858) 837-1128 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
DN10933 | FL | Dental Providers |
Y | 1223E0200X |
Dentist Specialization: Endodontics |
36125 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | TAX ID | 330924971 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
12264 El Camino Real, Suite 206, San Diego, CA 921303058 | 8587554787 | 8587557704 |
Street Address |
2515 COUNTRYSIDE BLVD STE A |
City | CLEARWATER |
State | FL |
Zip Code | 33763-1603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
1568893840 | Shawna Byrd | Counselor | 2725 Park Dr Ste 2e, Clearwater, FL 33763 | 2013-12-11 |
1265670178 | Clearwater Chiropractic Center LLC | Chiropractor | 25400 Us Highway 19 North, Suite 112, Clearwater, FL 33763 | 2009-01-30 |
1447472667 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2555 Enterprise Road, Suite 3, Clearwater, FL 33763 | 2007-05-03 |
1376679464 | Mary Ellen Baker-gayne | Counselor | 2555 Enterprise Rd., Ste. 2, Clearwater, FL 33763 | 2007-02-26 |
1669524708 | Robert Steven Colen | Counselor | 24761 Us 19 North, Ste 680, Clearwater, FL 33763 | 2007-01-17 |
1780758037 | Diana Lynn Summers Denta | Social Worker | 24761 Us Hwy 19 N, Suite 680, Clearwater, FL 33763 | 2006-11-20 |
1891808952 | Cynthia Douglas Lewis | Chiropractor | 24945 Us 19 N, Clearwater, FL 33763 | 2006-08-15 |
1285641084 | David P Crowley | Chiropractor | 24945 Us Hwy 19 N, Clearwater, FL 33763 | 2006-08-02 |
Find all providers in zip 33763 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942666284 | Liwen Tao D.d.s., M.s. | Dentist | 2753 State Road 580 Ste 108, Clearwater, FL 33761-3351 | 2015-12-31 |
1962714857 | Ami M Patel | Dentist | 3165 N Mcmullen Booth Rd Ste A2, Clearwater, FL 33761-2020 | 2010-07-08 |
1376718601 | Laurent Walter Belanger | Dentist | 2329 Sunset Point Rd Ste 201, Clearwater, FL 33765-1438 | 2008-04-28 |
1306996384 | Raed Shafia Al Kasem | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite #2, Clearwater, FL 33761-2032 | 2007-01-11 |
1154401677 | Christopher L Ross | Dentist | 1550 S Highland Ave, Suite A, Clearwater, FL 33756-2353 | 2006-10-17 |
1417059551 | Liwen Tao | Dentist | 2753 State Rd 580, Ste 108, Clearwater, FL 33761 | 2006-09-01 |
1023042967 | Clearwater Dental Associates Pl | Dentist | 2226 Druid Road E, Clearwater, FL 33764 | 2006-07-10 |
1437316700 | Bay Area Endodontics LLP | Dentist | 1550 S Highland Ave, Suite A, Clearwater, FL 33756-2353 | 2008-05-22 |
1437294741 | Endodontic Associates | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite 2, Clearwater, FL 33761-2032 | 2007-02-21 |
1760534747 | Robert Henry Haller | Dentist | 3165 Mcmullen Booth Rd, Bldg A Suite #2, Clearwater, FL 33761-2032 | 2007-01-18 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33763 |
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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.