STAN KACZKOWSKI DDS PLLC
NPI 1366053324
Clinic/Center - Dental in Cross Lanes, WV
About Stan Kaczkowski Dds Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAN KACZKOWSKI DDS PLLC (NPI 1366053324) is a healthcare organization registered as a dental in Cross Lanes, West Virginia and active in the NPI registry since August 2020. The organization lists Stan Warren Kaczkowski, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stan Kaczkowski Dds PLLC's NPI number?
The NPI number for Stan Kaczkowski Dds PLLC is 1366053324. It was assigned to this organization in the NPPES registry on August 13, 2020.
Where is Stan Kaczkowski Dds PLLC located?
Stan Kaczkowski Dds PLLC is located at 5376 Big Tyler Rd, Cross Lanes, WV 25313. The listed phone number is (304) 776-2223.
What is Stan Kaczkowski Dds PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Stan Kaczkowski Dds PLLC was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stan Kaczkowski Dds Pllc · NPI 1366053324
Dental organization in Cross Lanes, West Virginia. Organization record, active in the CMS NPPES registry since August 13, 2020.
## Identity
- **NPI:** 1366053324 (Entity type: Organization)
- **Enumerated:** August 13, 2020
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Stan Kaczkowski, OWNER/DENTIST
## Practice location
- **Address:** 5376 BIG TYLER RD, Cross Lanes, WV 25313-1059
- **Phone:** (304) 776-2223
## Record status
- **NPPES last updated:** August 13, 2020
- **Other identifiers:** Other 1962502831; Medicaid 0135382000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1366053324) · Data from the CMS NPPES public registry.