Michael Thomas Kolodychak in Erie - Oral & Maxillofacial Surgery

Michael Thomas Kolodychak - NPI 1376519181

Michael Thomas Kolodychak is a Oral & Maxillofacial Surgery in Erie, Pennsylvania. Michael Thomas Kolodychak practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Michael Thomas Kolodychak is 1376519181. The last update date is 2021-06-21.

Michael Thomas Kolodychak's current location address is 4600 Zuck Rd, Erie, Pennsylvania. You can contact this provider via phone number 8148382144 and fax number 8148387227. The mailing address for Michael Thomas Kolodychak is 4600 Zuck Rd, Erie, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Thomas Kolodychak
Address 4600 Zuck Rd, Erie, Pennsylvania
Phone Number 8148382144
Fax Number 8148387227
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1376519181
Provider Enumeration Date 2006-02-23
Last Updated Date 2021-06-21

Provider Mailing Address Detail

Address 4600 Zuck Rd
City Erie
State Pennsylvania (PA)
Post Code 165064932
Phone Number 8148382144
Fax Number 8148387227

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No DS029985L
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DS029985L PA STATE LICENSE

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FAQs about Michael Thomas Kolodychak

What is the unique 10-digit identifier code issued to Michael Thomas Kolodychak by the Centers for Medicare & Medicaid Services?

The Michael Thomas Kolodychak has been assigned the NPI (National Provider Identifier) 1376519181 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Michael Thomas Kolodychak's physical address?

The Michael Thomas Kolodychak is physically located at 4600 Zuck Rd, in the city of Erie, PA, with the postal code 165064932.

What is Michael Thomas Kolodychak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Thomas Kolodychak is Oral & Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 204E00000X.

On what date did the Michael Thomas Kolodychak receive the assignment of its 1376519181 from the Centers for Medicare & Medicaid Services?

The Michael Thomas Kolodychak was issued its 1376519181 by the Centers for Medicare & Medicaid Services on 2006-02-23.

As of what date was the information regarding Michael Thomas Kolodychak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Thomas Kolodychak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-21.

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