Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYON RICHARD KOZAK, DDS, MS
Active Sole ProprietorDR. BRYON RICHARD KOZAK, DDS, MS is a Orthodontics healthcare provider located in KENOSHA, Wisconsin. NPI 1104946912 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · KENOSHA, WI
Registration Details
- NPI Number
- 1104946912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2007 (19.335899259464 yrs)
- Last Updated
- Feb 24, 2014
- Licenses
-
5281-015 (WI)19-025556 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10320 75TH STSUITE AKENOSHA, WI, 531427525Browse WI providers · Browse ZIP 53142
- Phone
- 2626978766
- Fax
- 2626975523
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE BURLEIGH WEDELL | DDS | 1881733368 |
| DR. MAYLANI EVANGELISTA | — | 1679612204 |
| DR. JOHN ROBERT CRAWFORD | DDS, MS | 1356563449 |
| DR. JANE WRIGHT | DDS, MS | 1053604777 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.