John R Kozlowski, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4694 Issued in CT

Practice address

196 Parkway South
Suite 305
Waterford, CT 06385

Phone

(860) 443-1827

Fax

(860) 437-2255

NPI assigned

Oct 25, 2006

Last updated

Sep 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myorthos Connecticut Orthodontics PC

  dba Orthodontic Associates of Southeastern Connecticut

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterford, CT
  • NPI 1235899816
  NPD (past)
• Orthodontic Associates of Southeastern Connecticut, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterford, CT
  • NPI 1275734824
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1649354374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BEAVER BROOK RD",
            "city": "LYME",
            "state": "CT",
            "postal_code": "06371",
            "telephone_number": "860-434-1030",
            "fax_number": "860-434-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY SOUTH",
            "address_2": "SUITE 305",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-443-1827",
            "fax_number": "860-437-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vladislav Kiveliyk, DMD
• Kacie Lee Klee
• Kurt E Klopfenstein
• Damianos Kokkinidis, M.D
• Laura Koziatek, RPT
• Robert John Kupis, PA-C
• Aubrey J Kurtzman, M.S., ATC, LAT
• L&M Home Medical Equipment, LLC
• Michelle Renee La Forte, ATC
• Jacqueline Lagasse, MSN, NP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Waterford, CT
• Providers in Waterford, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

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

Verify at the official NPI Registry.