DR. PHILLIP W KOLB (NPI# 1699879957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699879957 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP W KOLB |
| Credential | DDS |
| Practice Address |
602 W Locust St Boonville IN 47601-0167 |
| Mailing Address |
Po Box 167 602 W Locust St Boonville IN 47601-0167 |
| Practice Telephone | 8128973470 |
| Practice Fax Number | 8128970068 |
| Mailing Telephone | 8128973470 |
| Mailing Fax Number | 8128970068 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12006066 | IN | Dental Providers |
| Street Address |
602 W LOCUST ST |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-0167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 1215086392 | North Haven, Inc. | Nursing Facility/Intermediate Care Facility | 305 E North St, Boonville, IN 47601-1357 | 2007-01-09 |
| 1215225792 | Major Hospital | Skilled Nursing Facility | 305 E North St, Boonville, IN 47601-1357 | 2011-07-18 |
| Find all providers in zip 47601 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1952761819 | Joseph T Kelly, Dds PC | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2016-03-04 |
| 1306231717 | Nicholas J Wagner, Dds, LLC | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2015-04-02 |
| 1992122832 | Joseph Thomas Kelly | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2014-03-27 |
| 1023338480 | Nicholas Joseph Wagner | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2010-06-09 |
| 1134253545 | Richard Louis Sears Jr. | Dentist | 3 Schuyler St, Boonville, NY 13309-1109 | 2007-03-15 |
| 1841324258 | Thomas Nicholas Caruso | Dentist | 3 Schuyler St, Boonville, NY 13309-1109 | 2007-03-15 |
| 1811021876 | Lisa Marie Sears | Dentist | 3 Schuyler St, Boonville, NY 13309-1109 | 2007-03-14 |
| Find all providers in BOONVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.