DR. HAROLD KOLODNEY, JR. (NPI# 1972655736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972655736 |
Entity Type | Individual |
Full Name | DR. HAROLD KOLODNEY, JR. |
Credential | D. M. D. |
Practice Address |
7728 Old Canton Rd Suite B Madison MS 39110-6103 |
Practice Telephone | 6018564420 |
Practice Fax Number | 6018531592 |
Mailing Telephone | 6018564420 |
Mailing Fax Number | 6018531592 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2012-08-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
PROS-274-94 | MS | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00660338 | 05 |
Street Address |
7728 OLD CANTON RD SUITE B |
City | MADISON |
State | MS |
Zip Code | 39110-6103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669795241 | Madison Pediatric Dental Group, Pllc | Dentist | 7728 Old Canton Rd, Suite A, Madison, MS 39110-6103 | 2010-03-10 |
1649474875 | Amy Graham Jones | Dentist | 7728 Old Canton Rd, Suite A, Madison, MS 39110-6103 | 2007-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
Find all providers in zip 39110 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871949107 | Alicia Estrella | Dentist | 406 Science Dr Ste 402, Madison, WI 53711-1068 | 2016-05-05 |
1801989496 | Eric J Rasmussen | Dentist | 4002 Monona Dr, Madison, WI 53716-1138 | 2006-10-02 |
1366451171 | Prosthetic Dental Associates, Sc | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2006-08-08 |
1750674362 | Kelly Anorah Beck | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2011-05-16 |
1023262581 | Margaret Mary Farrell | Dentist | 303 Main St, Madison, NJ 07940-2338 | 2008-11-11 |
1154330967 | Paul Jeffry Correll | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750403440 | Greggory E Tharp | Dentist | 2695 Flowood Drive, Jackson, MS 39232 | 2007-04-04 |
1700949518 | Brock B Westover | Dentist | 2550 Flowood Dr Ste 401, Flowood, MS 39232-9303 | 2006-12-19 |
1811096399 | Larry C Breeding | Dentist | University of Mississippi School of Dentistry, 2500 North State Street, Jackson, MS 39216-4505 | 2006-09-21 |
1982672309 | Edward E Hill | Dentist | 2500 N. State St., Jackson, MS 39216-4505 | 2006-03-10 |
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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.