MARK KOZACKO DDS PA is an oral and maxillofacial surgery dentist in Raleigh, NC. The provider is an oral and maxillofacial surgery dentist specialized in 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. MARK KOZACKO DDS PA NPI is 1114103066. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6817 FALLS OF NEUSE RD
SUITE 101
RALEIGH, NC
ZIP 27615-386
Phone: (919) 848-9871
Fax: (919) 848-7841
The provider's authorized official is Mark Franklin Kozacko .
The authorized official title is President and has the following contact phone number (919) 848-9871.
The enumeration date for this NPI number is 1/10/2008 and was last updated on 2/25/2008.