Jolene Alicia Krol, DMD
Individual provider Active NPI General Practice Dentistry · Lenox, MA
NPI 1134324155 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1134324155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 21839 (MA)
- Practice address
- 55 Pittsfield Rd Ste 4C
Lenox, MA 01240-2185 - Phone
- (413) 298-3717
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713000385 | MA | Order and Referring Only - Dentist |
0446562904 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21839 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21839 | MA | Yes |
Addresses
Primary practice location
55 Pittsfield Rd Ste 4C
Lenox, MA 01240-2185
Mailing address
55 Pittsfield Rd Ste 4C
Lenox, MA 01240-2185
Phone (413) 298-3717
Other practice location 1
20 Lewis Ave
Great Barrington, MA 01230-1827
Phone (413) 528-0181
Other providers in Lenox, MA
- Mari Kaymakcian Kayajian
- Susanne Lucille King
- Regis L Kirkpatrick
- Kmallorymd
- Gabriella Kovi
- Lynn Lak
- Terra Lampiasi
- Cornelia Frances Lenherr
- Todd Lepine
- Mark Liponis
All providers in Lenox, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.