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Contact Information

RICHARD J BOLLON, DDS
366 NORTH BROADWAY
JERICHO, NY11753
 Phone: 516-822-2131
 Fax: 516-822-0534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RICHARD J BOLLON · (Male)

NPI Number 1346357605
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 029679
  • NY Other 029679 NYS LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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