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DOUGLAS J KOSEK DDS PC
NPI 1811064215
Dentist - General Practice in South Bend, IN

Active since November 29, 2006
413 WEST JEFFERSON BLVD, SOUTH BEND, IN 46601(574) 232-2992(574) 232-2739 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas J Kosek Dds Pc NPPES

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

DOUGLAS J KOSEK DDS PC (NPI 1811064215) is a healthcare organization registered as a general practice in South Bend, Indiana and active in the NPI registry since November 2006. The organization lists Douglas John Kosek, President, as its authorized official.

NPPES Registry Identity

NPI1811064215
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOUGLAS J KOSEK DDS PC
Location Address413 WEST JEFFERSON BLVDSouth Bend, IN 46601-1514
Mailing Address413 West Jefferson BlvdSouth Bend, IN 46601-1514 · (574) 232-2992 · Fax (574) 232-2739
Phone(574) 232-2992
Fax(574) 232-2739
Organization SubpartNo
Authorized OfficialDouglas John KosekPresident · (574) 232-2992
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811064215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009873
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
413 WEST JEFFERSON BLVD, South Bend, IN 46601
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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

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 Douglas J Kosek Dds PC's NPI number?

The NPI number for Douglas J Kosek Dds PC is 1811064215. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Douglas J Kosek Dds PC located?

Douglas J Kosek Dds PC is located at 413 West Jefferson Blvd, South Bend, IN 46601. The listed phone number is (574) 232-2992.

What is Douglas J Kosek Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Douglas J Kosek Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.