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James W Koll, DDS
General Practice Dentistry in Minot Afb, North Dakota
NPI 1528357431

James W Koll is a General Practice Dentistry based in Minot Afb, ND and is specialized in General Practice. James W Koll practices in Minot Afb, ND and has the professional credentials of DDS. The NPI Number for James W Koll is 1528357431 and holds a License No. (North Dakota).

The current practice location address for James W Koll is 194 Missile Ave, Minot Afb, ND and can be reached out via phone at 701-723-5560.

Location: 194 Missile Ave, Minot Afb, ND, 58705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528357431
Provider Name
James W Koll
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
194 Missile Ave, Minot Afb, ND, 58705
Phone Number
701-723-5560
Fax Number
Provider Enumeration Date
03/31/2011
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
194 Missile Ave
City
Minot Afb
State
North Dakota
Zip
58705
Phone Number
701-723-5560
Fax Number
person
Provider Business Mailing Address Details
Address
194 Missile Ave
City
Minot Afb
State
North Dakota
Zip
58705
Phone Number
701-723-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6943 (Nebraska)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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