Kenneth Joseph Kuzdak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014004 Issued in MI

Practice address

41662 Kenilworth LN
Novi, MI 48377-1594

Phone

(248) 669-3588

NPI assigned

Apr 13, 2012

Last updated

Apr 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1235496365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41662 KENILWORTH LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771594",
            "telephone_number": "248-669-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41662 KENILWORTH LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771594",
            "telephone_number": "248-669-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZDAK",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shichie Joyce Kuribayashi, M.S., TLLP
• Shannon E Kurtz
• Angela Kaye Kurzer
• Daniel Joseph Kusk, PHARM D.
• Debra Kusluski, MSSA, LMSW
• Ron Christopher Kuzdak, DO
• Elizabeth Kvasager
• Sul Kwag
• Alexis Kylman
• Lolita Kyser

• General Practice Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.