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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 Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANNELI K BOLLER · (Female)

NPI Number 1780661595
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/22/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 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(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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