Matthew R Kolesar in Washington - Periodontics

Matthew R Kolesar - NPI 1649360348

Matthew R Kolesar is a Periodontics in Washington, District Of Columbia. Matthew R Kolesar practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Matthew R Kolesar is 1649360348. The last update date is 2007-07-08.

Matthew R Kolesar's current location address is 2311 M St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2022963360 and fax number 2027280294. The mailing address for Matthew R Kolesar is 2311 M St Nw, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew R Kolesar
Address 2311 M St Nw, Washington, District Of Columbia
Phone Number 2022963360
Fax Number 2027280294
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1649360348
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2311 M St Nw
City Washington
State District Of Columbia (DC)
Post Code 200371445
Phone Number 2022963360
Fax Number 2027280294

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DEN1000537
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
DEN1000537 DC DC DENTAL LICENSE NUMBER

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FAQs about Matthew R Kolesar

What is the unique 10-digit identification code assigned to Matthew R Kolesar by the Centers for Medicare & Medicaid Services?

The Matthew R Kolesar has been issued the NPI (National Provider Identifier) 1649360348, 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 Matthew R Kolesar?

The Matthew R Kolesar is physically situated at 2311 M St Nw, in the city of Washington, state of DC, with the postal code 200371445.

What is Matthew R Kolesar's area of expertise and its corresponding taxonomy classification?

The Matthew R Kolesar's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did Matthew R Kolesar receive its 1649360348 assignment from the Centers for Medicare & Medicaid Services?

The Matthew R Kolesar was assigned its 1649360348 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Matthew R Kolesar most recently updated?

The details pertaining to the Matthew R Kolesar, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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