Kolb & Kolb DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOLB & KOLB DDS LLC

Practice address

602 W Locust St
Boonville, IN 47601-0167

Phone

(812) 897-3470

Fax

(812) 897-0068

NPI assigned

Oct 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip W Kolb, DDSNPI 1699879957

Title

Partner

Phone

(812) 897-3470

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip W Kolb, DDS

  • Dentist
  • Boonville, IN
  • NPI 1699879957
  NPD (past) Authorized official
• Dante J Grasso, DMD

  • General Practice Dentistry
  • Boonville, IN
  • NPI 1235617622
  NPD (past)
• Jeffrey P Kolb, DDS

  • Dentist
  • Boonville, IN
  • NPI 1790889046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376631572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "address_2": "602 W LOCUST ST",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476010167",
            "telephone_number": "812-897-3470",
            "fax_number": "812-897-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W LOCUST ST",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476010167",
            "telephone_number": "812-897-3470",
            "fax_number": "812-897-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLB & KOLB DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "812-897-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Kemp, D.C.
• Kenneth R Parker MD PC
• Leslie A Keys, DT
• Mindi Michelle Kiegel, M.S.CCC-SLP
• Kindred Kids ABA
• Jeffrey P Kolb, DDS
• Phillip W Kolb, DDS
• Robin Laine, RD
• Wei H Lee, MD
• Carl Linge, MD

• General Practice Dentistry in Boonville, IN
• Providers in Boonville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.