Active NPI
Jacquelyn Kozlowski, DMD
- Dentist
- Bingham Farms, MI
National Provider Identifier
1023937620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901603194
- Practice address
- 31000 Telegraph Rd Ste 170
Bingham Farms, MI 48025-4305 - Phone
- (248) 646-8651
- NPI assigned
- Jul 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901603194 | MI | Primary |
Addresses
Primary practice location
31000 Telegraph Rd Ste 170
Bingham Farms, MI 48025-4305
Mailing address
31000 Telegraph Rd Ste 170
Bingham Farms, MI 48025-4305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1023937620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31000 TELEGRAPH RD STE 170",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31000 TELEGRAPH RD STE 170",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254305",
"telephone_number": "248-646-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "JACQUELYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901603194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.