Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ALEKSEY KOZLOV, D.M.D., LLC
Active
Organization
ALEKSEY KOZLOV, D.M.D., LLC
Active
Other names
East Mountain Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSEY KOZLOV DMD (MEMBER)
(916) 247-2048
Entity
Organization
Contact information
Practice address
2 BIRCH ROAD, CEDAR CREST, NM 87008
(505) 281-2622
Mailing address
13150 WENONAH AVE SE APT 521, ALBUQUERQUE, NM 87123-3857
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124513288
NPI
NM
Enumeration date
01/04/2021
Last updated
01/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up