Provider Demographics
NPI:1922109677
Name:KAZMER, PAUL CHESTER JR (DMD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CHESTER
Last Name:KAZMER
Suffix:JR
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:130 PRESTON EXECUTIVE DR
Mailing Address - Street 2:SUITE #204
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:919-468-6410
Mailing Address - Fax:919-468-4314
Practice Address - Street 1:130 PRESTON EXECUTIVE DR
Practice Address - Street 2:SUITE #204
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8433
Practice Address - Country:US
Practice Address - Phone:919-468-6410
Practice Address - Fax:919-468-4314
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC65781223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics