Thomas J Kosick DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS031319-L Issued in PA

Legal business name

THOMAS J KOSICK DMD PC

Practice address

36 Branch Street
Stoneboro, PA 16153

Phone

(724) 376-2004

Fax

(724) 376-2108

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Thomas James Kosick, DMD

Title

Owner

Phone

(724) 376-2004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1669985016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "STONEBORO",
            "state": "PA",
            "postal_code": "161530127",
            "telephone_number": "724-376-2004",
            "fax_number": "724-376-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRANCH STREET",
            "city": "STONEBORO",
            "state": "PA",
            "postal_code": "16153",
            "telephone_number": "724-376-2004",
            "fax_number": "724-376-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J KOSICK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "KOSICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-376-2004",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031319-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Edward May, PT
• Patricia Marie Sciullo
• Melanie Renee Shannon
• Gina R Shongo, MA CCC-SLP
• Kristen Lee Sterling, MS, LPC

• General Practice Dentistry in Stoneboro, PA
• Providers in Stoneboro, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.