Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285074062 Individual Practitioner Male Practitioner

Dr. Gregory Michael Kraczkowsky , DDS

Dentist - General Practice • Norwich, CT

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Kraczkowsky, DDS is a registered healthcare professional specializing in Dentist - General Practice in Norwich, CT. Practice services are available at 17 LAFAYETTE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17 Lafayette St

Norwich, CT 063603407

Telephone 8608862497
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Norwich, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Norwich, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 11253

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004011367 (CT)
Medicaid State Provider ID
004011136 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Ted Fischer , DMD

Dentist - General Practice

NPI 1124139696

Doctor of Dental Medicine

Dr. Henry Chen , DMD

Dentist - General Practice

NPI 1205408507

Doctor of Dental Medicine

Dr. Richard Snayd , DDS

Dentist - General Practice

NPI 1386755858

Doctor of Dental Surgery

Dr. Michael Dunne , DMD

Dentist - General Practice

NPI 1891806279

Doctor of Dental Medicine

Dr. Matthew Amaro , DMD

Dentist - General Practice

NPI 1902917370

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2016

Registered at 17 LAFAYETTE ST, NORWICH, CT 063603407 (Tel: 8608862497)

📍
Updated Business Mailing Address June 30, 2016

Registered at 17 LAFAYETTE ST, NORWICH, CT 063603407 (Tel: 8608862497)

👤
Provider Name / Credentials Updated June 30, 2016

Recorded as GREGORY KRACZKOWSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Dentist (License #11253 in CT)

🟢
Initial NPI Registration & Enumeration June 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285074062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2013
Last Update: June 30, 2016
Sole Proprietor: No

Mailing Address

17 Lafayette St

Norwich, CT 063603407

Phone: 8608862497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.