David R. Kolb, D.D.S.
Individual provider Active NPI General Practice Dentistry · Oakland City, IN
NPI 1386668671 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386668671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7876 (IN)
- Practice address
- 137 E Morton St
Oakland City, IN 47660-1819 - Phone
- (812) 749-3049
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7876 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7876 | IN | Yes |
Addresses
Primary practice location
137 E Morton St
Oakland City, IN 47660-1819
Mailing address
137 E Morton St
P.O. Box 356
Oakland City, IN 47660-1819
Phone (812) 749-3049
Other providers in Oakland City, IN
- Arthur John Gabriel
- Terry C Gehlhausen
- Gerald Gene Gray
- Holly L Heichelbech
- Henry County Memorial Hospital
- Celena D McCandless
- Lori Beth Meyer
- Julianna Whitfill Nixon
- Oakland City Eyecare, LLC
- Oakland City Family Practice, LLC
All providers in Oakland City, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.