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

Douglas John Kosek, DDS

Individual provider General Practice Dentistry · NPI 1780704247

Douglas John Kosek, DDS is a General Practice Dentistry in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

413 W Jefferson Blvd
South Bend, IN 46601-1514
Phone: (574) 232-2992
Fax: (574) 232-2739
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12009873 (IN)

Record details

NPI number1780704247
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007
Mailing address533 N Coquillard Dr, South Bend, IN 46617-2554

Other providers in South Bend