IndividualActive
Aleksey Kozlov, DMD
NPI 1124513288 · General Practice Dentistry · Cedar Crest, NM
Provider details
- NPI number
- 1124513288
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DD4950 (NM)
Practice location
2 Birch Rd
Cedar Crest, NM 87008-9553
Phone: (505) 281-2622
Fax: (505) 407-4044
Mailing address
Po Box 979
Cedar Crest, NM 87008-0979
Registry dates
- Enumerated
- 2018-06-29
- Last updated
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.