Organization Active NPI

Robert J. Kozlow, D.D.S. P.L.L.C.

  • Dentist
  • Meredith, NH
National Provider Identifier
1750501045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2239 Issued in NH
Legal business name
ROBERT J. KOZLOW, D.D.S. P.L.L.C.
Practice address
14 Plymouth St
Meredith, NH 03253-0204
Phone
(603) 279-7138
Fax
(603) 279-7209
NPI assigned
Apr 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert J. Kozlow
Title
Owner
Phone
(603) 279-7138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2239 NH Primary

Addresses

Primary practice location

14 Plymouth St
Meredith, NH 03253-0204

Mailing address

P.O. Box 204
Meredith, NH 03253-0204
Phone (603) 279-7138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750501045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 204",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032530204",
            "telephone_number": "603-279-7138",
            "fax_number": "603-279-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLYMOUTH ST",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032530204",
            "telephone_number": "603-279-7138",
            "fax_number": "603-279-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. KOZLOW, D.D.S. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZLOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-279-7138"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meredith, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.