Provider Demographics
NPI:1316020852
Name:COSSAART, JAMES K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:COSSAART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PARK PL
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VT
Mailing Address - Zip Code:05443-1229
Mailing Address - Country:US
Mailing Address - Phone:802-453-7700
Mailing Address - Fax:
Practice Address - Street 1:6 PARK PL
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VT
Practice Address - Zip Code:05443-1229
Practice Address - Country:US
Practice Address - Phone:802-453-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT20791223G0001X
VT016-0002079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice