Kazmerski, Gerald J
Kazmerski, Gerald J is an individual health care provider with primary practice located at 959 Wyoming Ave Second Floor, Dental Offices, Scranton PA 18509-3023. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Kazmerski, Gerald J can be contacted via phone (570) 504-0882.Contact Information
Primary practice address
959 Wyoming Ave Second Floor, Dental Offices
Scranton PA 18509-3023
Phone: (570) 504-0882
Fax: (570) 504-0859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DS017739L | Pennsylvania |
Profile Details
| NPI number | 1174614168 |
|---|---|
| LBN Legal business name | Kazmerski, Gerald J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 17th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174614168 | NPPES |
| Pennsylvania | MEDICAID | 1010505830003 |
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