Individual provider · Type 1 NPI
James Gregory Koller, DDS
General Practice Dentistry · North St. Paul, MN
NPI number
1902895642
Active · reactivated Nov 18, 2019
Practice location
2534 7th Ave E
North St. Paul, MN 55109-3003
Fax (651) 773-9206
Mailing address
2601 Centennial Dr Ste 102
North St. Paul, MN 55109-3087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 10366 (MN) |
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 1902895642
James Gregory Koller, DDS's National Provider Identifier is 1902895642, issued on Oct 16, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North St. Paul, MN. The record was last updated on Nov 18, 2019.