IndividualActive
Anissa Kozlowski, DDS
NPI 1083777411 · General Practice Dentistry · Blaine, MN
Provider details
- NPI number
- 1083777411
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D11029 (MN)
Specialties & taxonomies
Dental Providers
Practice location
12904 Central Ave Ne
Blaine, MN 55434-4147
Phone: (763) 755-1330
Fax: (763) 755-4305
Approximate (ZIP-level) locationGet directions
Mailing address
2331 132nd Ln Ne
Blaine, MN 55449-5378
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.