Stan Kaczkowski DDS PLLC
Stan Kaczkowski DDS PLLC is a Dental Clinic/Center in Cross Lanes, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5376 Big Tyler RdCross Lanes, WV 25313-1059
Phone: (304) 776-2223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1366053324 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stan Kaczkowski — Owner/Dentist · (304) 776-2223 |
| NPI enumerated | August 13, 2020 |
| Last updated in NPPES | August 13, 2020 |
| Certification date | August 13, 2020 |
| Mailing address | 5376 Big Tyler Rd, Cross Lanes, WV 25313-1059 |
Other providers in Cross Lanes
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Amanda Springer DDS PLLC
5376 Big Tyler Rd, Cross Lanes, WV 25313-1059 · (304) 776-2223