DR. BRYON RICHARD KOZAK DDS, MS
NPI 1104946912
Dentist - Orthodontics and Dentofacial Orthopedics in Kenosha, WI

Active since March 29, 2007
10320 75TH ST, SUITE A, KENOSHA, WI 53142(262) 697-8766(262) 697-5523 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bryon Richard Kozak Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYON RICHARD KOZAK DDS, MS (NPI 1104946912) is an individual orthodontics and dentofacial orthopedics provider in Kenosha, Wisconsin, licensed in Wisconsin (5281-015) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104946912
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. BRYON RICHARD KOZAKCredential: DDS, MS
Location Address10320 75TH ST, SUITE AKenosha, WI 53142-7525
Mailing Address10320 75th St, Suite AKenosha, WI 53142-7525 · (262) 697-8766 · Fax (262) 697-5523
Fax(262) 697-5523
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 24, 2014
NPI 1104946912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in WI · 5281-015 Licensed in IL · 19-025556
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
10320 75TH ST, Kenosha, WI 53142

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
10320 75TH ST
KENOSHA, WI 53142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryon Kozak's NPI number?

The NPI number for Bryon Kozak is 1104946912. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Bryon Kozak located?

Bryon Kozak practices at 10320 75th St Suite A, Kenosha, WI 53142. The listed phone number is (262) 697-8766.

What is Bryon Kozak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Bryon Kozak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 7 other insurers list Bryon Kozak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryon Kozak was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.