Stan Kaczkowski Dds Pllc | |
5376 Big Tyler Rd Cross Lanes WV 25313-1059 | |
(304) 776-2223 | |
Not Available |
Full Name | Stan Kaczkowski Dds Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 5376 Big Tyler Rd, Cross Lanes, West Virginia |
Authorized Official Name and Position | Stan Warren Kaczkowski (OWNER/DENTIST) |
Authorized Official Contact | 3047762223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stan Kaczkowski Dds Pllc 5376 Big Tyler Rd Cross Lanes WV 25313-1059 Ph: (304) 776-2223 | Stan Kaczkowski Dds Pllc 5376 Big Tyler Rd Cross Lanes WV 25313-1059 Ph: (304) 776-2223 |
NPI Number | 1366053324 |
---|---|
Provider Enumeration Date | 08/13/2020 |
Last Update Date | 08/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366053324 | NPI | - | NPPES |
1962502831 | Other | INDIVIDUAL NPI | |
0135382000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 7 days ago
Mitri A. Ghareeb, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 Phone: 304-776-1212 Fax: 304-776-4542 | |
Ghareeb & Ghareeb Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 Cross Lanes Dr, Cross Lanes, WV 25313 Phone: 304-776-4541 Fax: 304-776-4542 | |
Amanda Springer Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5376 Big Tyler Rd, Cross Lanes, WV 25313 Phone: 304-776-2223 Fax: 304-776-2223 |