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Active NPI 1649315383 Individual Practitioner Male Practitioner

Dr. Michael Paul Kaczor , DDS

Dentist - General Practice • Camillus, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kaczor, DDS is a registered healthcare professional specializing in Dentist - General Practice in Camillus, NY. Practice services are available at 5109 W GENESEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5109 W Genesee St
Suite 205

Camillus, NY 130312352

Telephone 3154872828
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Camillus, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Camillus, NY (8411 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 NY 048115-1

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Michael Fallon , DDS

Dentist - General Practice

NPI 1265520613

Doctor of Dental Surgery

Dr. Marc Engle , DDS

Dentist - Periodontics

NPI 1417008046

Doctor of Dental Surgery

Dr. Bruce Parker , DDS

Dentist - General Practice

NPI 1679601843

Doctor of Dental Surgery

Dr. Joseph Finelli , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1912090911

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5109 W GENESEE ST, SUITE 205, CAMILLUS, NY 130312352 (Tel: 3154872828)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2556 LYONS RD, CAMILLUS, NY 130319743 (Tel: 3156730844)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KACZOR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #048115-1 in NY)

🟢
Initial NPI Registration & Enumeration February 20, 2007

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: 1649315383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2556 Lyons Rd

Camillus, NY 130319743

Phone: 3156730844

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.