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NPI Code Detail

MEDICARE: FRANCIS KAZMIERCZAK DMD

MEDICARE:   FRANCIS  KAZMIERCZAK  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS022514LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1972541OTHERPAUCCI PROVIDER NO.

General Provider Information

NPI Number : 1225142169
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCIS KAZMIERCZAK DMD
Provider Business Mailing Address
First Line : 503 W GARDEN RD
Second Line :
City : ORELAND
State : PA
Zip : 19075-2212
Country : US
Telephone Number : 215-233-9395
Fax Number :
Provider Business Practice Location Address
First Line : 35 STONYBROOK DR
Second Line :
City : LEVITTOWN
State : PA
Zip : 19055-2216
Country : US
Telephone Number : 215-946-7171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/08/2007

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Directions to “ FRANCIS KAZMIERCZAK DMD” Practice Location

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