Edward J. Kolonsky Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026931L Issued in PA

Practice address

27 W Washington St
Shenandoah, PA 17976-1708

Phone

(570) 462-4710

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward J. Kolonsky DMD PC

  • General Practice Dentistry
  • Shenandoah, PA
  • NPI 1720422009
  NPD (past) Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730128331",
    "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": "570-462-2540"
        },
        {
            "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": {
        "last_name": "KOLONSKY",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026931L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011724020002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011724020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hoats, M.S., CCC-SLP, CBIS
• Ryan Horne, OTR
• James Wei-Tzer Hu MD PC
• Tara N Kesh, PHARMD
• Joshua Kneal, ATC, MS
• KRVF LLC
• David A Kurzinsky, DDS
• Main Street Medical Center Inc
• Thomas J Markus Jr.
• Merakey Pennsylvania

• 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.