Mark Joseph Kolosionek, D.D.S.
Dentist in Hudson, OH. Individual provider (NPI-1).
NPI number1346436631
StatusActive
Last updated in NPPESSep 20, 2007
Details
- NPI
- 1346436631
- Entity type
- Individual (NPI-1)
- Name
- Mark Joseph Kolosionek
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Sep 20, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 18142 | OH | Yes |
Practice location
45 Milford Dr Ste 17Hudson, OH 44236-2750
Phone 330-650-4558 · Fax 330-650-6466
Mailing address
45 Milford Dr Ste 17Hudson, OH 44236-2750
Phone 330-650-4558 · Fax 330-650-6466
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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