OrganizationActive
Stan Kaczkowski DDS PLLC
NPI 1366053324 · Dental Clinic/Center · Cross Lanes, WV
Stan Kaczkowski DDS PLLC is a Dental Clinic/Center organization in Cross Lanes, WV (NPI 1366053324).
Provider details
- NPI number
- 1366053324
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stan Kaczkowski, Owner/Dentist(304) 776-2223
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5376 Big Tyler Rd
Cross Lanes, WV 25313-1059
Phone: (304) 776-2223
Street-level locationGet directions
Mailing address
5376 Big Tyler Rd
Cross Lanes, WV 25313-1059
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Stan Kaczkowski DDS PLLC's NPI number?
- Stan Kaczkowski DDS PLLC's National Provider Identifier (NPI) is 1366053324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stan Kaczkowski DDS PLLC?
- Stan Kaczkowski DDS PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Stan Kaczkowski DDS PLLC located?
- Stan Kaczkowski DDS PLLC's practice location on file with NPPES is 5376 Big Tyler Rd, Cross Lanes, WV 25313-1059.
- What is Stan Kaczkowski DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stan Kaczkowski DDS PLLC is (304) 776-2223.
- Who is the authorized official for Stan Kaczkowski DDS PLLC?
- The authorized official listed on Stan Kaczkowski DDS PLLC's NPPES record is Stan Kaczkowski, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stan Kaczkowski DDS PLLC's NPI active?
- Yes — Stan Kaczkowski DDS PLLC's NPI (1366053324) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.