Individual provider · Type 1 NPI
Michael D. Koller, D.M.D
General Practice Dentistry · Lewisburg, KY
NPI number
1275688020
Active
Practice location
288 N Main St
Lewisburg, KY 42256
Fax (270) 755-3285
Mailing address
PO Box 40
Lewisburg, KY 42256-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 6230 (KY) |
General Practice Dentistry: 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.
About NPI 1275688020
Michael D. Koller, D.M.D's National Provider Identifier is 1275688020, issued on Jan 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lewisburg, KY. The record was last updated on Jul 8, 2007.