DR. EDWARD DWIGHT KOSAKOSKI


Address: 2515 Countryside Blvd Ste A, Clearwater, FL 33763-1603
Phone: 7274757519

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA TAX ID 330924971 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
12264 El Camino Real, Suite 206, San Diego, CA 921303058 8587554787 8587557704

Office Location

Street Address 2515 COUNTRYSIDE BLVD STE A
City CLEARWATER
State FL
Zip Code 33763-1603

Providers in the same zip code

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 Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City CLEARWATER
Zip Code 33763

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Dataset Information

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.

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