ANNELI K BOLLER (NPI# 1780661595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780661595 |
| Entity Type | Individual |
| Full Name | ANNELI K BOLLER |
| Credential | DDS |
| Practice Address |
Route 381 North Farmington PA 15437-0010 |
| Mailing Address |
Route 381 North P O Box 10 Farmington PA 15437-0010 |
| Practice Telephone | 7243291100 |
| Practice Fax Number | 7243290942 |
| Mailing Telephone | 7243291100 |
| Mailing Fax Number | 7243290942 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS-030926-L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 047677-1 | 01 |
| DEA | BB6029789 | 01 | |
| PA | LICENSE | DS-030926-L | 01 |
| PA | 001778089 003 | 05 |
| Street Address |
ROUTE 381 NORTH |
| City | FARMINGTON |
| State | PA |
| Zip Code | 15437-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093239022 | Brian Coleman | Physical Therapist | 4174 National Pike Ros, Farmington, PA 15437 | 2017-08-01 |
| 1851725980 | Nicole Parone | Physical Therapist | 4174 National Pike Road, Farmington, PA 15437 | 2013-08-26 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1477721447 | Alik Minikhanov | Acupuncturist | 63 Henning Rd 3006, Farmington, PA 15437 | 2008-02-13 |
| 1235292327 | Another Way Inc | Substance Abuse Rehabilitation Facility | 708 Nelson Road, Farmington, PA 15437 | 2006-12-19 |
| 1164806782 | Heather Anita Zimmerman | Optometrist | 101 New Meadow Run Drive, Oak Valley Medical and Dental, PC, Farmington, PA 15437-0010 | 2015-07-14 |
| 1518944321 | Sara J Thomson | Registered Nurse | Rte 40 E, Farmington, PA 15437-0010 | 2005-12-22 |
| 1609189810 | Alice May Rishel | Speech-Language Pathologist | 2812 Dinner Bell Five Forks Rd, Farmington, PA 15437-1049 | 2010-07-16 |
| 1407876618 | Health Center Pharmacy, Inc. | Pharmacy | 4164 National Pike, Farmington, PA 15437-1344 | 2006-07-20 |
| 1053390286 | Dayna Sherbondy | Physical Therapist | 4174 National Pike, Farmington Center, Farmington, PA 15437-1344 | 2006-01-16 |
| Find all providers in zip 15437 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416977 | Alexander Michael Shore | Dentist | 33153 Maplenut St, Farmington, MI 48336-4438 | 2019-06-17 |
| 1629596705 | Dds Catalyst Farmington, LLC | Dentist | 3501 N Butler Ave Ste 104, Farmington, NM 87401-6430 | 2017-09-08 |
| 1750802997 | Ryan Michael Holbrook | Dentist | 640 W Karsch Blvd, Farmington, MO 63640-3342 | 2017-06-28 |
| 1770939613 | Modern Dental Professionals, Mn PC | Dentist | 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024-8207 | 2016-05-10 |
| 1508232992 | Christopher Nicholaus Roclevitch | Dentist | 3030 E Main St, T-1, Farmington, NM 87402-7636 | 2015-08-19 |
| 1003200569 | Pure Dental PC | Dentist | 2 Forest Park Dr Ste 1, Farmington, CT 06032-1446 | 2015-03-23 |
| 1417346016 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 520 W. Pine Street, Farmington, MO 63640-1426 | 2015-01-20 |
| 1487913869 | Modern Dental Professionals Utah, PC | Dentist | 280 N Union Ave, #l110, Farmington, UT 84025 | 2012-05-07 |
| 1427320654 | Summit Family Dental of Farmington, LLC | Dentist | 800 E 30th St Bldg 3, Farmington, NM 87401-9407 | 2012-02-03 |
| 1851679393 | Peter Urling | Dentist | 19 S. Franklin St., Farmington, MO 63640 | 2011-08-02 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 15437 |
Please comment or provide details below to improve the information on ANNELI K BOLLER.
| 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.