Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cle Oms Lakewood/Rocky River - Jeffrey W. Kosman DDS Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1083153985

Cle Oms Lakewood/Rocky River - Jeffrey W. Kosman DDS Inc is an Oral and Maxillofacial Surgery (Dentist) in Lakewood, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15711 Madison Ave Ste 104
Lakewood, OH 44107-5655
Phone: (216) 228-9000
Fax: (216) 228-8280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 30020221 (OH)

Record details

NPI number1083153985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kosman — Owner · (440) 934-2626
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 13, 2017
Mailing address15711 Madison Ave, Suite 104, Lakewood, OH 44107-5655

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