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Jonathan King Cole, DMD
Periodontist in Du Bois, Pennsylvania
NPI 1811001647

Jonathan King Cole is a Periodontist based in Du Bois, PA and is specialized in Periodontics. Jonathan King Cole practices in Du Bois, PA and has the professional credentials of DMD. The NPI Number for Jonathan King Cole is 1811001647 and holds a License No. DS024511L (Pennsylvania).

The current practice location address for Jonathan King Cole is 190 W Park Ave Ste 4, Du Bois, PA and can be reached out via phone at 814-375-7515 and via fax at 814-375-1270.

Location: 190 W Park Ave Ste 4, Du Bois, PA, 15801-2342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811001647
Provider Name
Jonathan King Cole
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
190 W Park Ave Ste 4, Du Bois, PA, 15801-2342
Phone Number
814-375-7515
Fax Number
814-375-1270
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112780 01 PA INSURANCE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
190 W Park Ave Ste 4
City
Du Bois
State
Pennsylvania
Zip
15801-2277
Phone Number
814-375-7515
Fax Number
814-375-1270
person
Provider Business Mailing Address Details
Address
190 W Park Ave Ste 4
City
Du Bois
State
Pennsylvania
Zip
15801-2277
Phone Number
814-375-7515
Fax Number
814-375-1270
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DS024511L (Pennsylvania)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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