Timothy James Koll in Appleton - Oral And Maxillofacial Pathology
Timothy James Koll - NPI 1154403194
Timothy James Koll is a Oral And Maxillofacial Pathology in Appleton, Wisconsin. Timothy James Koll practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Timothy James Koll is 1154403194. The last update date is 2007-07-08.
Timothy James Koll's current location address is 2410 E. Evergreen Dr., Appleton, Wisconsin. You can contact this provider via phone number 9208329500 and fax number 9208329490. The mailing address for Timothy James Koll is 2410 E. Evergreen Dr., Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy James Koll |
|---|---|
| Address | 2410 E. Evergreen Dr., Appleton, Wisconsin |
| Phone Number | 9208329500 |
| Fax Number | 9208329490 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154403194 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2410 E. Evergreen Dr. |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549134913 |
| Phone Number | 9208329500 |
| Fax Number | 9208329490 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 4243 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy James Koll by the Centers for Medicare & Medicaid Services?
The Timothy James Koll has been issued the NPI (National Provider Identifier) 1154403194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy James Koll is geographically located?
The Timothy James Koll is physically situated at the following location: 2410 E. Evergreen Dr., Appleton, WI, 549134913.
What is Timothy James Koll's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy James Koll is Oral And Maxillofacial Pathology, and the taxonomy code that categorizes this field of expertise is 1223P0106X.
On what date did the Timothy James Koll receive the assignment of its 1154403194 from the Centers for Medicare & Medicaid Services?
The Timothy James Koll was issued its 1154403194 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date were the details pertaining to Timothy James Koll last refreshed?
The information related to the Timothy James Koll, including its address, specialty, and other relevant details, was last updated on 2007-07-08.