National Provider Identifier
Kenneth J Raczka, D.D.S.
Kenneth J Raczka, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 838-1415.
Profile Overview
- NPI
- 1639168826
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- October 19, 2005
- Last Updated
- July 08, 2007
Practice Location
- 1603 Hertel Ave
- Buffalo, NY 14216-2903
Phone: (716) 838-1415
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1639168826
- Entity Type
- Individual
- Last Name
- Raczka
- First Name
- Kenneth
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 1603 Hertel Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-2903
- Mailing Country
- US
- Mailing Phone
- (716) 838-1415
- Mailing Fax
- (716) 838-1143
- Practice Street Address
- 1603 Hertel Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-2903
- Practice Country
- US
- Practice Phone
- (716) 838-1415
- Practice Fax
- (716) 838-1143
- Enumeration Date
- October 19, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)