DR. ZENON JOHN KOSSAK DDS NPI 1073565164

NPI Information

  • NPI: 1073565164
  • Provider Name: DR. ZENON JOHN KOSSAK, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 24 FAIR ACRES DR
    GROSSE POINTE FARMS, MI
    ZIP 48236
  • Phone: (313) 590-4350

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NPI Details

DR. Zenon John Kossak, DDS is an oral and maxillofacial surgery dentist in Grosse Pointe Farms, MI. 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. DR. Zenon John Kossak, DDS NPI is 1073565164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 FAIR ACRES DR
GROSSE POINTE FARMS, MI
ZIP 48236-102
Phone: (313) 590-4350

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery2901009356MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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