MEDICARE: JOHN C. KURZAWA, DDS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1447987151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN C. KURZAWA, DDS, LLC

Provider Business Mailing Address
First Line	:	673 E WILBETH RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-3455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	673 E WILBETH RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-3455
Country	:	US
Telephone Number	:	330-724-2551
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN KURZAWA
Credential	:
Telephone Number	:	330-724-7726

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	08/03/2022

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