Provider Demographics
NPI:1225142169
Name:KAZMIERCZAK, FRANCIS (DMD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:KAZMIERCZAK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 W GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-2212
Mailing Address - Country:US
Mailing Address - Phone:215-233-9395
Mailing Address - Fax:
Practice Address - Street 1:35 STONYBROOK DR
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-2216
Practice Address - Country:US
Practice Address - Phone:215-946-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022514L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA972541OtherUCCI PROVIDER NO.