Healthcare Provider Details

I. General information

NPI: 1912126525
Provider Name (Legal Business Name): MICHAEL GEORGE KOSLOWSKY D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 MOORE AVE
SARATOGA SPRINGS NY
12866
US

IV. Provider business mailing address

17 MOORE AVE
SARATOGA SPRINGS NY
12866
US

V. Phone/Fax

Practice location:
  • Phone: 518-441-5997
  • Fax:
Mailing address:
  • Phone: 518-441-5997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number038874
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number038874
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: