Dr Bryon Richard Kozak, DDS, MS - Dentist in Kenosha, WI

Dr Bryon Richard Kozak, DDS, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Kenosha, Wisconsin. Dr Bryon Richard Kozak is licensed to practice in Wisconsin (license number 5281-015) and his current practice location is 10320 75th St, Suite A, Kenosha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 697-8766.

NPI number for Dr Bryon Richard Kozak is 1104946912 and his current mailing address is 10320 75th St, Suite A, Kenosha, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104946912.

Contact Information

Dr Bryon Richard Kozak, DDS, MS
10320 75th St, Suite A,
Kenosha, WI 53142-7525
(262) 697-8766
(262) 697-5523

Map and Direction




Healthcare Provider's Profile

Full NameDr Bryon Richard Kozak
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location10320 75th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104946912
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 02/24/2014

Medical Identifiers

Medical identifiers for Dr Bryon Richard Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104946912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 5281-015 (Wisconsin)Primary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 19-025556 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryon Richard Kozak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bryon Richard Kozak, DDS, MS
10320 75th St, Suite A,
Kenosha, WI 53142-7525

Ph: (262) 697-8766
Dr Bryon Richard Kozak, DDS, MS
10320 75th St, Suite A,
Kenosha, WI 53142-7525

Ph: (262) 697-8766

Reviews and Comments


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