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Contact Information

MICHAEL D KOLLER, DMD
288 N MAIN ST
LEWISBURG, KY42256
 Phone: 270-755-4899
 Fax: 270-755-3285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MICHAEL D KOLLER · (Male)

NPI # 1275688020
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/24/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 6230
  • KY Medicaid 60062304
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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