Gregory Czarnecki, GREG CZARNECKI

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011792 Issued in MI

Practice address

22190 Garrison St
302
Dearborn, MI 48124-2260

Phone

(313) 562-0255

NPI assigned

May 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Greg Czarnecki Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1568629665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST",
            "address_2": "302",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242260",
            "telephone_number": "313-562-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST",
            "address_2": "302",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242260",
            "telephone_number": "313-562-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "GREGORY",
        "credential": "GREG CZARNECKI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREG",
            "last_name": "CZARNECKI",
            "credential": "GREG CZARNECKI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kirsten Allie Curtis
• Kelly Lauren Cvetkovski
• Denise Cykiert, R.D
• Carol Ann Cyn-Lewis, R.PH.
• Marry Rose Sanjana Cyril-Schwartz, LMSW
• Pamela Czuj, LMSW
• D.a.S Creative Services
• Geoffrey Thane D'Allemand, PA-C
• D&T Health PLLC
• D2 Dental of Michigan, P.C.

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.