Provider Demographics
NPI:1982593950
Name:KROCHMALNEK, ERIC (DMD, MSC, BSC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:KROCHMALNEK
Suffix:
Gender:M
Credentials:DMD, MSC, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 GREEN ST # 403
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-4144
Mailing Address - Country:US
Mailing Address - Phone:508-713-8550
Mailing Address - Fax:
Practice Address - Street 1:26 QUEEN ST STE 13
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2478
Practice Address - Country:US
Practice Address - Phone:508-860-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program