Provider Demographics
NPI:1336365899
Name:KOZAR, JOHN MILAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MILAN
Last Name:KOZAR
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 1:65 EAST NORTHFIELD ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4525
Mailing Address - Country:US
Mailing Address - Phone:973-992-0779
Mailing Address - Fax:973-992-5623
Practice Address - Street 1:65 EAST NORTHFIELD ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4525
Practice Address - Country:US
Practice Address - Phone:973-992-0779
Practice Address - Fax:973-992-5623
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1008295001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice