Provider Demographics
NPI:1003628868
Name:KOSH DENTISTRY ATTICA
Entity type:Organization
Organization Name:KOSH DENTISTRY ATTICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OZGUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-875-5526
Mailing Address - Street 1:2785 WEHRLE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7333
Mailing Address - Country:US
Mailing Address - Phone:631-875-5526
Mailing Address - Fax:
Practice Address - Street 1:3325 E MAIN STREET RD
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-9506
Practice Address - Country:US
Practice Address - Phone:585-591-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental