IndividualActive
Bryon Kozak, DDS, MS
NPI 1104946912 · Orthodontics and Dentofacial Orthopedics Dentistry · Kenosha, WI
Provider details
- NPI number
- 1104946912
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5281-015 (WI)
Practice location
10320 75th St
Suite a
Kenosha, WI 53142-7525
Phone: (262) 697-8766
Fax: (262) 697-5523
Mailing address
10320 75th St
Kenosha, WI 53142-7525
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2014-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.