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Contact Information

LEONARD M KOSTLEY, DMD
201 SOUTH FAIRFIELD STREET
LIGONIER, PA15658
 Phone: 724-238-3066
 Fax: 724-238-2047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LEONARD M KOSTLEY · (Male)

NPI # 1437231743
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS023492L
  • PA Other 101603728001 PA DEPT OF PUBLIC WELFARE
  • PA Other K0436086 UNITED CONCORDIA
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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