Individual
DR. MARK FRANKLIN KOZACKO
Active
Individual
DR. MARK FRANKLIN KOZACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9016W
BCBS NC PROVIDER NUMBER
NC
Enumeration date
06/24/2006
Last updated
07/13/2026
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