IndividualActive
Walter Kozin, D.D.S.
NPI 1104069533 · Dentist · Chicago, IL
Provider details
- NPI number
- 1104069533
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 019025311 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1657 W Adams St
Ground Floor - Dental
Chicago, IL 60612-3201
Phone: (312) 738-0762
Street-level locationGet directions
Mailing address
1657 W Adams St
Chicago, IL 60612-3201
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.