DR. MICHAEL PAUL KACZOR DDS NPI 1649315383

NPI Information

NPI: 1649315383
Provider Name: DR. MICHAEL PAUL KACZOR, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
5109 W GENESEE ST
SUITE 205
CAMILLUS, NY
ZIP 13031
Phone: (315) 487-2828
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DR. Michael Paul Kaczor, DDS is a general practice dentist in Camillus, NY. The provider is 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. DR. Michael Paul Kaczor, DDS NPI is 1649315383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5109 W GENESEE ST
SUITE 205
CAMILLUS, NY
ZIP 13031-352
Phone: (315) 487-2828

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	048115-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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