Active NPIOrganization

Kool Koala Pediatric And Adolescent Dentistry

Dentist, Pediatric Dentistry in Collingswood, New Jersey

NPI Number1295112043
Practice location
501 Whitehorse Pike, Collingswood, NJ 08107
Fax
—
Last updated
April 30, 2015

Kool Koala Pediatric And Adolescent Dentistry is a healthcare organization based in Collingswood, NJ. Kool Koala Pediatric And Adolescent Dentistry practices in Collingswood, NJ. The NPI Number for Kool Koala Pediatric And Adolescent Dentistry is 1295112043 and holds a License No. 22DIO2447503 (NJ). The current practice location address for Kool Koala Pediatric And Adolescent Dentistry is 501 Whitehorse Pike, Collingswood, NJ 08107 and can be reached out via phone at 856-230-0924.

Provider Profile Details

NPI Number
1295112043
Provider Name
Kool Koala Pediatric And Adolescent Dentistry
Provider Entity Type
Organization
Address
501 Whitehorse Pike, Collingswood, NJ 08107
Phone Number
856-230-0924
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Frederick Vernon Ballard, DDS · Ceo · 856-230-0924
Provider Enumeration Date
April 30, 2015
Last Update Date
April 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 Whitehorse Pike
Collingswood, NJ 08107
Zip
08107
Phone Number
856-230-0924
Collingswood, NJ 08107Get directions →

Provider Business Mailing Address Details

Address
501 Whitehorse Pike
Collingswood, NJ 08107
City
Collingswood
State
NJ
Zip
08107
Phone Number
856-230-0924

License Information

License Number
22DIO2447503
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kool Koala Pediatric And Adolescent Dentistry?

The NPI number of Kool Koala Pediatric And Adolescent Dentistry is 1295112043. It was assigned on April 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Kool Koala Pediatric And Adolescent Dentistry?

Kool Koala Pediatric And Adolescent Dentistry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DIO2447503.

Where does Kool Koala Pediatric And Adolescent Dentistry practice?

The practice location is 501 Whitehorse Pike, Collingswood, NJ 08107. The office can be reached at 856-230-0924 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295112043 directly on the NPPES registry website.

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