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

Individual provider General Practice Dentistry · NPI 1417123449

Mr. Charles Edward Kanozak, DMD is a General Practice Dentistry in Augusta, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

137 Western Ave
Augusta, ME 04330-7236
Phone: (207) 622-3879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2778 (ME)

Record details

NPI number1417123449
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 30, 2008
Last updated in NPPESApril 30, 2008

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