KP Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KP DENTAL INC

Practice address

10 Hinsdale Ave
Winsted, CT 06098-1133

Phone

(860) 379-4382

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Scott Thomas Kozlak, DMDNPI 1932496544

Title

Owner

Phone

(860) 307-4193

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Thomas Kozlak, D.M.D.

  • General Practice Dentistry
  • Winsted, CT
  • NPI 1932496544

  General Practice

  NPD Authorized official
• Kaitlin Mary Peretto, D.M.D.

  • General Practice Dentistry
  • Winsted, CT
  • NPI 1003170374

  General Practice

  NPD
• William P Ryan, D.M.D.

  • General Practice Dentistry
  • Winsted, CT
  • NPI 1548354012

  General Practice

  NPD (past)

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1184472979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SWEETHEART MOUNTAIN RD",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193425",
            "telephone_number": "860-307-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HINSDALE AVE",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981133",
            "telephone_number": "860-379-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "KOZLAK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-307-4193",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Karpovich, COTA/L
• Mohammad Sohail Khera, MD
• Cennet Kilic, PHARMD
• Kimberly Kos-Williams, D.C.
• Scott Thomas Kozlak, D.M.D.
• Richard Niel Krinsky, DO
• Ruth P Lallier, LCSW
• David Robert Lawrence, MD
• Janelle Lazzaro, RPH
• Lbittel

• All providers in Winsted, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.