DR. TIMOTHY JAMES KOLL D.D.S. NPI 1154403194

NPI Information

NPI: 1154403194
Provider Name: DR. TIMOTHY JAMES KOLL, D.D.S.
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

Address:
2410 E. EVERGREEN DR.
APPLETON, WI
ZIP 54913
Phone: (920) 832-9500
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DR. Timothy James Koll, D.D.S. is an oral and maxillofacial pathology dentist in Appleton, WI. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Timothy James Koll, D.D.S. NPI is 1154403194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2410 E. EVERGREEN DR.
APPLETON, WI
ZIP 54913-913
Phone: (920) 832-9500
Fax: (920) 832-9490

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	4243	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78325	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
2	4-19648	MEDICARE UPIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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