Peter Joseph Koletar in Crossville - Dentist
Peter Joseph Koletar - NPI 1588772065
Peter Joseph Koletar is a Dentist in Crossville, Tennessee. Peter Joseph Koletar practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Joseph Koletar is 1588772065. The last update date is 2008-01-03.
Peter Joseph Koletar's current location address is 3121 N Main St, Crossville, Tennessee. You can contact this provider via phone number 9314849400 and fax number 9314841477. The mailing address for Peter Joseph Koletar is 3121 N Main St, Crossville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Joseph Koletar |
|---|---|
| Address | 3121 N Main St, Crossville, Tennessee |
| Phone Number | 9314849400 |
| Fax Number | 9314841477 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588772065 |
|---|---|
| Provider Enumeration Date | 2006-08-26 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 3121 N Main St |
|---|---|
| City | Crossville |
| State | Tennessee (TN) |
| Post Code | 38555 |
| Phone Number | 9314849400 |
| Fax Number | 9314841477 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS0000007173 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3204906 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peter Joseph Koletar by the Centers for Medicare & Medicaid Services?
The Peter Joseph Koletar has been issued the NPI (National Provider Identifier) 1588772065, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peter Joseph Koletar?
The Peter Joseph Koletar is physically situated at 3121 N Main St, in the city of Crossville, state of TN, with the postal code 38555.
What is Peter Joseph Koletar's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter Joseph Koletar is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Peter Joseph Koletar receive the assignment of its 1588772065 from the Centers for Medicare & Medicaid Services?
The Peter Joseph Koletar was issued its 1588772065 by the Centers for Medicare & Medicaid Services on 2006-08-26.
As of what date were the details related to Peter Joseph Koletar most recently updated or revised?
The information pertaining to Peter Joseph Koletar, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-03.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH