DR. KELLY BLISS KOSCSO D.M.D.
NPI 1710113899
Dentist in Gainesville, FL

Q: What is Kelly Koscso's NPI number?

The NPI number for Kelly Koscso is 1710113899. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Q: What is Kelly Koscso's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Koscso was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 03, 2009

410 NE WALDO RD, GAINESVILLE, FL 32641(352) 375-3790(352) 375-3791 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Bliss Koscso D.m.d. NPPES

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

DR. KELLY BLISS KOSCSO D.M.D. (NPI 1710113899) is an individual dentist in Gainesville, Florida, licensed in Florida (DN18633) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1710113899

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY BLISS KOSCSOCredential: D.M.D.

Location Address410 NE WALDO RDGainesville, FL 32641-5685

Mailing Address410 Ne Waldo RdGainesville, FL 32641-5685 · (352) 375-3790 · Fax (352) 375-3791

Phone(352) 375-3790

Fax(352) 375-3791

Sole ProprietorNo

Enumeration DateJune 3, 2009

Last NPPES UpdateJanuary 11, 2012

✔ NPI 1710113899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN18633

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

410 NE WALDO RD, Gainesville, FL 32641

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Other Providers at the Same Location NPPES 13

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

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