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MARK KOZACKO DDS PA
NPI 1114103066
Dentist - Oral and Maxillofacial Surgery in Raleigh, NC

Active since January 10, 2008
6817 FALLS OF NEUSE RD, SUITE 101, RALEIGH, NC 27615(919) 848-9871(919) 848-7841 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mark Kozacko Dds Pa NPPES

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

MARK KOZACKO DDS PA (NPI 1114103066) is a healthcare organization registered as an oral and maxillofacial surgery in Raleigh, North Carolina and active in the NPI registry since January 2008. The organization lists Mark Franklin Kozacko, President, as its authorized official.

NPPES Registry Identity

NPI1114103066
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMARK KOZACKO DDS PA
Location Address6817 FALLS OF NEUSE RD, SUITE 101Raleigh, NC 27615-5386
Mailing Address6817 Falls Of Neuse Rd, Suite 101Raleigh, NC 27615-5386 · (919) 848-9871 · Fax (919) 848-7841
Phone(919) 848-9871
Fax(919) 848-7841
Organization SubpartNo
Authorized OfficialMark Franklin KozackoPresident · (919) 848-9871
Enumeration DateJanuary 10, 2008
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1114103066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
6817 FALLS OF NEUSE RD, Raleigh, NC 27615
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Other Identifiers 5

Medicare UPINU90388NC
Medicaid899016WNC
Medicare PIN1C 2428872NC
Medicare UPIN1C2428872NC
Medicare UPIN1C2428853NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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.

DR. MARK FRANKLIN KOZACKO DDS PA
Dentist (Oral and Maxillofacial Surgery)
6817 FALLS OF NEUSE RD, SUITE 101
RALEIGH, NC 27615
Wake County (919) 848-9871

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 Mark Kozacko Dds PA's NPI number?

The NPI number for Mark Kozacko Dds PA is 1114103066. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Mark Kozacko Dds PA located?

Mark Kozacko Dds PA is located at 6817 Falls Of Neuse Rd Suite 101, Raleigh, NC 27615. The listed phone number is (919) 848-9871.

What is Mark Kozacko Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Mark Kozacko Dds PA accept?

Health plans from Blue Cross and Blue Shield of NC list Mark Kozacko Dds PA 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 Mark Kozacko Dds PA was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.