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Deactivated NPI 1508891813 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Kozak , DDS

Dentist • Baldwin, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Kozak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006
NPI Deactivation Date March 06, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Kozak, DDS was a registered Dentist practicing in Baldwin, MI. Throughout an active medical career spanning 18 years, Dr. Kozak provided care at the practice location at 1615 MICHIGAN AVE until profile deactivation on 2024-03-06.

Practice Location & Contact Primary Location

Practice Address

1615 Michigan Ave

Baldwin, MI 49304

Telephone 2317454624
Fax 2317453690
Associated Practice Facility / Clinic
🏢 Baldwin Family Health Care Facility NPI 1689783698

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Baldwin, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Baldwin, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901007089

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Anika Waltonstanciel

Social Worker - Clinical

NPI 1003506338
Amanda Reed , NP

Nurse Practitioner - Family

NPI 1033911896

Nurse Practitioner

Anna Cvetich

Nurse Practitioner - Family

NPI 1164086526
Yaying Tian , RD

Dietitian, Registered

NPI 1174989636

Registered Dietitian

NPI 1194812180

Physician Assistant (Certified)

Cathy Sullivan , LMSW

Social Worker - Clinical

NPI 1215348206

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 06, 2024

Record deactivated on March 06, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1615 MICHIGAN AVE, BALDWIN, MI 49304 (Tel: 2317454624)

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Updated Business Mailing Address July 08, 2007

Registered at 1615 MICHIGAN AVE, BALDWIN, MI 49304 (Tel: 2317454624)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN KOZAK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901007089 in MI)

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Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508891813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: July 08, 2007
Deactivation Date: March 06, 2024

Mailing Address

1615 Michigan Ave

Baldwin, MI 49304

Phone: 2317454624

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.