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Dr. Justin R Kolasa, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Danville, Kentucky
NPI 1598100372

Justin R Kolasa is a Oral and Maxillofacial Surgery (Dentist) based in Danville, KY and is specialized in Oral and Maxillofacial Surgery. Justin R Kolasa practices in Danville, KY and has the professional credentials of DMD,MD. The NPI Number for Justin R Kolasa is 1598100372 and holds a License No. (Kentucky).

The current practice location address for Justin R Kolasa is 400 S 4Th St, Danville, KY and can be reached out via phone at 859-236-1130 and via fax at 859-239-9384.

Location: 400 S 4Th St, Danville, KY, 40422-2094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598100372
Provider Name
Justin R Kolasa
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
400 S 4Th St, Danville, KY, 40422-2094
Phone Number
859-236-1130
Fax Number
859-239-9384
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100290020 05 KY
institution
Provider Business Practice Location Address Details
Address
400 S 4Th St
City
Danville
State
Kentucky
Zip
40422-2094
Phone Number
859-236-1130
Fax Number
859-239-9384
person
Provider Business Mailing Address Details
Address
400 S 4Th St
City
Danville
State
Kentucky
Zip
40422-2094
Phone Number
859-236-1130
Fax Number
859-239-9384
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
9346 (Kentucky)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 3
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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