Edward J. Kolonsky DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026931L Issued in PA

Legal business name

EDWARD J. KOLONSKY DMD PC

Practice address

27 W Washington St
Shenandoah, PA 17976-1708

Phone

(570) 462-4710

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Kolonsky Jr., D.M.DNPI 1730128331

Title

President/Secretary

Phone

(570) 462-4710

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J. Kolonsky Jr., DMD

  • General Practice Dentistry
  • Shenandoah, PA
  • NPI 1730128331
  NPD (past) Authorized official

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1720422009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W LLOYD ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761555",
            "telephone_number": "570-462-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W WASHINGTON ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761708",
            "telephone_number": "570-462-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. KOLONSKY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "KOLONSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "570-462-4710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026931L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011724020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helene Creasy, LCSW
• Debra Cuff, RN
• Deebel Chiropractic Clinic P.C.
• Thomas Edward Deebel, D.C.
• Patricia Ce Domin-Shorten, RPH
• Eric E. Petterson P.C.
• Angeline Falcon
• Tammy Lee Falls, SLP
• Melissa K Farley
• Genesis

• General Practice Dentistry in Shenandoah, PA
• Providers in Shenandoah, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.