Alyssa M. Kowalski D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.23245 Issued in OH

Legal business name

ALYSSA M. KOWALSKI D.D.S. INC.

Doing business as

Willowick Family Dentistry

Practice address

250 E 312TH St
Willowick, OH 44095-3623

Phone

(440) 944-3575

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Alyssa M Kowalski, D.D.S.NPI 1669784021

Title

President

Phone

(440) 944-3575

Specialties & licenses 1

Addresses

Other names 1

• Willowick Family Dentistry Doing business as

Locations

Practitioners 1

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

• Alyssa M Kowalski, DDS

  • General Practice Dentistry
  • Willowick, OH
  • NPI 1669784021
  NPD (past) Authorized official

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1972995827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 312TH ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953623",
            "telephone_number": "440-944-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 312TH ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953623",
            "telephone_number": "440-944-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA M. KOWALSKI D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-944-3575",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.23245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowick Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Willowick, OH
• Providers in Willowick, 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 Mar 2, 2015; 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.