# JOSEPH L KACZOR, INC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346322799
- **Authorized official:** DR. JOSEPH KACZOR DMD (PRESIDENT)
- **Authorized official phone:** (814) 944-6355

## Contact information

- **Practice address:** 2606 BROAD AVE., ALTOONA, PA 16601-1915
- **Practice address phone:** (814) 944-6355
- **Practice address fax:** (814) 941-7324
- **Mailing address:** 2606 BROAD AVE., ALTOONA, PA 16601-1915
- **Mailing address phone:** (814) 944-6355
- **Mailing address fax:** (814) 941-7324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS022361-L | PA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/18/2009