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Dr. Stanley Warren Kaczkowski, DDS
General Practice Dentistry in Cross Lanes, West Virginia
NPI 1962502831

Stanley Warren Kaczkowski is a General Practice Dentistry based in Cross Lanes, WV and is specialized in General Practice. Stanley Warren Kaczkowski practices in Cross Lanes, WV and has the professional credentials of DDS. The NPI Number for Stanley Warren Kaczkowski is 1962502831 and holds a License No. WV2189 (West Virginia).

The current practice location address for Stanley Warren Kaczkowski is 5376 Big Tyler Rd, Cross Lanes, WV and can be reached out via phone at 304-776-2223 and via fax at 304-776-2225.

Location: 5376 Big Tyler Rd, Cross Lanes, WV, 25313-1059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962502831
Provider Name
Stanley Warren Kaczkowski
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5376 Big Tyler Rd, Cross Lanes, WV, 25313-1059
Phone Number
304-776-2223
Fax Number
304-776-2225
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5376 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1059
Phone Number
304-776-2223
Fax Number
304-776-2225
person
Provider Business Mailing Address Details
Address
5376 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1059
Phone Number
304-776-2223
Fax Number
304-776-2225
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
WV2189 (West Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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