John Robert Cozzens, DMD
Individual provider Active NPI General Practice Dentistry · Ulysses, KS
NPI 1992374805 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1992374805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 61888 (KS)
- Practice address
- 209 W Central Ave
Ulysses, KS 67880-2404 - Phone
- (620) 424-4311
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61888 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bishop Dental, LLC | Current |
Accepting new patients | |
| Prairie Vista Dental, LLC | General Practice | Past |
Accepting new patients |
Locations
209 W Central Ave
Ulysses, KS 67880
Phone (620) 424-4311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61888 | KS | Yes |
Addresses
Primary practice location
209 W Central Ave
Ulysses, KS 67880-2404
Mailing address
904 N McCall St
Ulysses, KS 67880-1642
Phone (801) 941-1358
Other providers in Ulysses, KS
- Commonspirit Kansas, Inc.
- Commonspirit Kansas, Inc.
- Gregory F Copeland
- County of Grant
- County of Grant
- Critical Care Transfer, Inc
- Felix Levi Degollado III
- Seth W Drees
- Dynatest Inc
- Family Dentistry
All providers in Ulysses, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.