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NPI Code Detail

MEDICARE: JOHN C. KURZAWA, DDS, LLC

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
11223G0001XGeneral 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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Directions to “JOHN C. KURZAWA, DDS, LLC ” Practice Location

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