Treasure Coast Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 10933 Issued in FL

Legal business name

TREASURE COAST ENDODONTICS

Practice address

900 SE Ocean Blvd Ste B110
Stuart, FL 34994-3503

Phone

(858) 837-1128

Fax

(858) 755-4787

NPI assigned

Sep 28, 2012

Last updated

Sep 28, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward D. Kosakoski, DMDNPI 1457482168

Title

President

Phone

(858) 837-1128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Dwight Kosakoski, D.M.D

  • Endodontics
  • Clearwater, FL
  • NPI 1457482168
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1093066169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE B110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943503",
            "telephone_number": "858-837-1128",
            "fax_number": "858-755-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE B110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943503",
            "telephone_number": "858-837-1128",
            "fax_number": "858-755-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "KOSAKOSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-837-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 10933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen Tran, D.M.D.
• Linda Carol Traum, LCSW
• Treasure Coast Anesthesia Group PA
• Treasure Coast ASC, LLC (Treasure Coast Center For Surgery)
• Treasure Coast Ear Nose & Throat PA
• Treasure Coast Family Wellness LLC
• Treasure Coast Health Services, Inc.
• Treasure Coast Hearing, Inc. (Hear Again America)
• Treasure Coast Hospitalist PA
• Treasure Coast Maternal Fetal Medicine, PA

• Dental Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.