National Provider Identifier Database

ANNELI K BOLLER, DDS – NPI #1780661595
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

ANNELI K BOLLER, DDS
103 NEW MEADOW RUN DR
FARMINGTON, PA15437-1391
Phone: 845-481-7014
Fax: 724-329-0942
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for ANNELI K BOLLER

NPI Number 1780661595
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/22/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • PA License #: DS-030926-L
  • NY Medicaid: 01892295
  • PA Medicaid: 001778089 003
  • NY Other: 047677-1 LICENSE
  • PA Other: DS-030926-L LICENSE
Hospital affiliation n/a

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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