Provider Demographics
NPI:1710643341
Name:KAYAHAN KOSAR DMD PLLC
Entity Type:Organization
Organization Name:KAYAHAN KOSAR DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYAHAN
Authorized Official - Middle Name:AHMET
Authorized Official - Last Name:KOSAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:716-308-6025
Mailing Address - Street 1:30 TAUNTON PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1816
Mailing Address - Country:US
Mailing Address - Phone:716-308-6025
Mailing Address - Fax:
Practice Address - Street 1:360 GREENHAVEN TER
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-5547
Practice Address - Country:US
Practice Address - Phone:716-696-1951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty