Michael Cosimi, D.M.D., M.S.

Periodontics · Herrin, IL

Individual Active NPI

NPI number 1881754844

Practice location

408 Lincoln Dr Ste C
Herrin, IL 62948-3790
Phone
(618) 997-2403

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NPI record

NPI
1881754844
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
May 5, 2022
Certified
May 5, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 021002240 IL

About Dr. Cosimi

Michael Cosimi, D.M.D., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 408 Lincoln Dr Ste C, Herrin, IL 62948-3790. The NPI number 1881754844 was assigned on December 11, 2006 and the record was last updated on May 5, 2022.

Dr. Cosimi lists a license in the registry: #021002240 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Cosimi, D.M.D., M.S.?

The NPI number is 1881754844.

What is the phone number of Dr. Cosimi?

The phone number listed for the practice location is (618) 997-2403.

Where is Dr. Cosimi located?

408 Lincoln Dr Ste C, Herrin, IL 62948-3790.

What is the taxonomy code for Dr. Cosimi?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.