Koski& Depaul Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00218686 Issued in OH

Legal business name

KOSKI& DEPAUL DENTAL GROUP

Practice address

5564 Wilson Mills Rd
Highland Heights, OH 44143-3265

Phone

(440) 461-9600

Fax

(440) 461-4035

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Charles Koski, D.M.DNPI 1023284064

Title

President

Phone

(440) 461-9600

Specialties & licenses 1

Addresses

Practitioners 2

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

• David Charles Koski, D.M.D

  • Dentist
  • Highland Heights, OH
  • NPI 1023284064
  NPD (past) Authorized official
• Diane Marie Depaul

  • Dentist
  • Highland Heights, OH
  • NPI 1124294178
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1669647608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-9600",
            "fax_number": "440-461-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-9600",
            "fax_number": "440-461-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSKI& DEPAUL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KOSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-461-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "00218686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle King, PHARMD
• KLS Counseling LLC
• David Charles Koski, D.M.D
• Kaleigh Koski, DMD
• Kyle D Koski, DMD
• Roger Alan Kravitz, PT, DPT
• Levels of Vibrating Energy
• Anna Li-Conrad, PT, DPT
• Mark Libertin, M.D.
• Robert Louis Lieberman, LISW-S

• General Practice Dentistry in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.