# JAMES A GORCZYCA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477622983
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D1672 | ID | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00001 0009341 | REGENCE BLUE SHIELD | ID |
| 01 | — | 66688 | BLUE CROSS | ID |
| 01 | — | 6E730 | FEDERAL EMPLOYEE PROGRAM | ID |