| Dr Zenon Paul Kossak, DDS, MD | |
|
300 E Long Lake Rd Ste 290, Bloomfield Hills, MI 48304-2378 | |
| (248) 203-2330 | |
| Not Available |
| Full Name | Dr Zenon Paul Kossak |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 300 E Long Lake Rd Ste 290, Bloomfield Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306109475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN23273 (Florida) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901020635 (Michigan) | Primary |
| Entity Name | New Image Maxillofacial Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194767707 PECOS PAC ID: 6800029331 Enrollment ID: O20140507000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zenon Paul Kossak, DDS, MD 300 E Long Lake Rd Ste 290, Bloomfield Hills, MI 48304-2378 Ph: (248) 203-2330 | Dr Zenon Paul Kossak, DDS, MD 300 E Long Lake Rd Ste 290, Bloomfield Hills, MI 48304-2378 Ph: (248) 203-2330 |
Dr. Bethany Ann Whitaker Ross, Dentist Medicare: Not Enrolled in Medicare Practice Location: 43368 Woodward Ave Ste 100, Bloomfield Hills, MI 48302 Phone: 817-781-1524 | |
Daniel Sumbal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7 W Square Lake Rd, Bloomfield Hills, MI 48302 Phone: 517-416-8802 Fax: 248-282-0520 | |
Anthony E Dietz, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 E Long Lake Rd, Ste. 290, Bloomfield Hills, MI 48304 Phone: 248-644-6136 Fax: 248-644-9091 | |
Richard Riley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2626 Berry Dr, Bloomfield Hills, MI 48304 Phone: 734-946-7700 Fax: 734-946-4808 | |
Ms. Leslie Afable, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 E Long Lake Rd Ste 290, Bloomfield Hills, MI 48304 Phone: 248-203-2330 | |
Dr. Thomas Michael Pullman, DR OF DENTAL SURGERY Dentist Medicare: Medicare Enrolled Practice Location: 50 W Big Beaver Rd, Suite 290, Bloomfield Hills, MI 48304 Phone: 248-642-8130 Fax: 248-642-9314 | |
Dr. Carla Marie Maxwell, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5958 Canton Center Rd, Ste 400 Crest Expressions Dental Centers, Bloomfield Hills, MI 48304 Phone: 234-451-9570 Fax: 734-451-9574 |