Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAMES GREGORY KOLLER, D.D.S.
Deactivated Sole ProprietorDR. JAMES GREGORY KOLLER, D.D.S. is a General Dentistry healthcare provider located in NORTH SAINT PAUL, Minnesota. NPI 1902895642 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · NORTH SAINT PAUL, MN
This NPI has been deactivated.
The record was deactivated on October 31, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902895642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2005 (14.040983606557 yrs)
- Last Updated
- Nov 18, 2019
- Deactivated
- Oct 31, 2019
- License
-
10366 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2534 7TH AVE ENORTH SAINT PAUL, MN, 551093003Browse MN providers · Browse ZIP 55109
- Phone
- 6517776454
- Fax
- 6517739206
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.