Individual ProviderEric KwiatkowskiDentistDental ProvidersPractice Address166 N Jefferson St, Hanover, PA 17331-4613(717) 637-2224PECOS EnrollmentBased on the most recent information from CMS, provider Eric Kwiatkowski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1184756439Provider TypeIndividualFull NameKwiatkowski, EricTitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date3/12/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address166 N Jefferson St, Hanover, PA 17331-4613Phone(717) 637-2224FaxUnlisted FaxMailing LocationMailing Address1310 Westminster Ave, Hanover, PA 17331-8797PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDS24025LPennsylvania