Jonathan King Cole in Du Bois - Periodontics

Jonathan King Cole - NPI 1811001647

Jonathan King Cole is a Periodontics in Du Bois, Pennsylvania. Jonathan King Cole practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jonathan King Cole is 1811001647. The last update date is 2007-07-08.

Jonathan King Cole's current location address is 318 Hillcrest Dr, Du Bois, Pennsylvania. You can contact this provider via phone number 8143758990 and fax number 8143710290. The mailing address for Jonathan King Cole is 318 Hillcrest Dr, Du Bois, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan King Cole
Address 318 Hillcrest Dr, Du Bois, Pennsylvania
Phone Number 8143758990
Fax Number 8143710290
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1811001647
Provider Enumeration Date 2006-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 318 Hillcrest Dr
City Du Bois
State Pennsylvania (PA)
Post Code 158012342
Phone Number 8143758990
Fax Number 8143710290

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DS024511L
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
112780 PA INSURANCE PROVIDER ID

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FAQs about Jonathan King Cole

What is the unique 10-digit identifier code issued to Jonathan King Cole by the Centers for Medicare & Medicaid Services?

The Jonathan King Cole has been assigned the NPI (National Provider Identifier) 1811001647 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jonathan King Cole?

The Jonathan King Cole is physically situated at 318 Hillcrest Dr, in the city of Du Bois, state of PA, with the postal code 158012342.

What is Jonathan King Cole's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jonathan King Cole is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the Jonathan King Cole receive its 1811001647 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan King Cole was assigned its 1811001647 by the Centers for Medicare & Medicaid Services on 2006-08-18.

When was the information related to Jonathan King Cole most recently updated or refreshed?

The details pertaining to the Jonathan King Cole, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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