Todd Paczewski, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35032 Issued in PA

Practice address

44 S Main St
Wilkes Barre, PA 18701

Phone

(570) 829-2691

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Dental Group

  • General Practice Dentistry
  • Wilkes Barre, PA
  • NPI 1871628370
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447386545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BULFORD RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18701",
            "telephone_number": "570-829-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACZEWSKI",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "35032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROVIDER ID #",
            "identifier": "1312430",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON PROVIDER ID#",
            "identifier": "138299",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayse Elif Ozdener, PHARMD
• Alisha Ann Ozehoski, LAPC
• P B Hillban LLC
• Andrea Pabon, MSW
• Maria Pacyna, DO
• Heather Renae Paduck, P.A.-C
• Jamie L Padula, LPC
• Cynthia L Page
• Karlyn Paglia, M.D.
• Gina M Pahler, LPN

• General Practice Dentistry in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.