Stan Kaczkowski DDS Pllc
Stan Kaczkowski DDS Pllc is a healthcare organization registered as Dental Clinic/Center in Cross Lanes, WV, holding Type 2 (organization) NPI 1366053324 since 2020. The authorized official on file is Stan Kaczkowski, Owner/Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366053324 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Stan Kaczkowski DDS Pllc |
| Practice address | 5376 BIG TYLER RD, Cross Lanes, WV, 25313 |
| Phone | 3047762223 |
| Enumeration date | 2020-08-13 |
| Last updated in NPPES | 2020-08-13 |
Authorized official
| Name | Stan Kaczkowski |
|---|---|
| Title | Owner/Dentist |
| Phone | 3047762223 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962502831 | Other | — | INDIVIDUAL NPI |
| 0135382000 | Medicaid | WV | — |
Copy-ready billing details
Provider: Stan Kaczkowski DDS Pllc NPI: 1366053324 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 5376 BIG TYLER RD, Cross Lanes, WV, 25313
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962502831 | Stanley Kaczkowski | Individual | General Practice Dentistry | Cross Lanes, WV |
| 1689103780 | Amanda Springer | Individual | General Practice Dentistry | Cross Lanes, WV |
| 1770293706 | Amanda Springer DDS Pllc | Organization | Dental Clinic/Center | Cross Lanes, WV |
Verify this record
Cross-check NPI 1366053324 against the authoritative CMS record: view Stan Kaczkowski DDS Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Stan Kaczkowski DDS Pllc?
Who is the authorized official for Stan Kaczkowski DDS Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-13.