Paul A Kollath is a Dentist in Green Bay, Wisconsin. Paul A Kollath practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul A Kollath is 1447315460. The last update date is 2007-07-08.
Paul A Kollath's current location address is 2805 Libal St., Green Bay, Wisconsin. You can contact this provider via phone number 9203398980 and fax number 9203390133. The mailing address for Paul A Kollath is 2805 Libal St., Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul A Kollath |
|---|---|
| Address | 2805 Libal St., Green Bay, Wisconsin |
| Phone Number | 9203398980 |
| Fax Number | 9203390133 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1447315460 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2805 Libal St. |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012877 |
| Phone Number | 9203398980 |
| Fax Number | 9203390133 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1857G |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33353100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul A Kollath by the Centers for Medicare & Medicaid Services?
The Paul A Kollath has been issued the NPI (National Provider Identifier) 1447315460, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Paul A Kollath is physically located?
The Paul A Kollath is situated at the following address: 2805 Libal St., Green Bay, WI 543012877.
What is Paul A Kollath's area of expertise and its corresponding taxonomy classification?
The Paul A Kollath's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447315460 to Paul A Kollath?
The Centers for Medicare & Medicaid Services originally issued the 1447315460 to Paul A Kollath on 2006-12-27.
As of what date were the details pertaining to Paul A Kollath last refreshed?
The information related to the Paul A Kollath, including its address, specialty, and other relevant details, was last updated on 2007-07-08.