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Stan Kaczkowski DDS Pllc

Dental Clinic/Center in Cross Lanes, WV · enumerated 2020 · authorized official Stan Kaczkowski, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366053324

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Registry record

Entity type Organization (Type 2)
Legal business name Stan Kaczkowski DDS Pllc
Practice address 5376 Big Tyler Rd, Cross Lanes, WV, 25313
Enumeration date Aug 13, 2020
Last updated in NPPES Aug 13, 2020

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Stan Kaczkowski
Title Owner/Dentist

Other identifiers

Identifier Type State Issuer
1962502831 Other - INDIVIDUAL NPI
0135382000 Medicaid WV -

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.

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Frequently asked questions

What is the NPI number for Stan Kaczkowski DDS Pllc?
The NPI for Stan Kaczkowski DDS Pllc is 1366053324, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Stan Kaczkowski DDS Pllc?
NPPES lists Stan Kaczkowski (Owner/Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-13.