Organization
GREGORY J. KUCHTJAK, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J. KUCHTJAK D.M.D. (PRESIDENT/PEDIATRIC DENTIST)
(704) 883-8516
Entity
Organization
Contact information
Practice address
933 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 883-8516
(704) 883-8560
Mailing address
933 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 883-8516
(704) 883-8560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902VG
BLUE CROSS BLUE SHIELD
NC
Enumeration date
05/19/2008
Last updated
05/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us