Provider Demographics
NPI:1972759868
Name:WILLIAM T. COZART, D.D.S.,PLLC
Entity Type:Organization
Organization Name:WILLIAM T. COZART, D.D.S.,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:COZART
Authorized Official - Suffix:
Authorized Official - Credentials:D,D,S,
Authorized Official - Phone:828-758-8848
Mailing Address - Street 1:342 HARPER AVE NW
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-5061
Mailing Address - Country:US
Mailing Address - Phone:828-758-8848
Mailing Address - Fax:828-754-8812
Practice Address - Street 1:342 HARPER AVE NW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5061
Practice Address - Country:US
Practice Address - Phone:828-758-8848
Practice Address - Fax:828-754-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC3178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty