ANNELI K BOLLER DDS - NPI 1780661595 - Dentist in Farmington, PA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Anneli K Boller Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNELI K BOLLER DDS (NPI 1780661595) is an individual general practice provider in Farmington, Pennsylvania, licensed in Pennsylvania (DS-030926-L) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1780661595

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameANNELI K BOLLERCredential: DDS

Location Address103 NEW MEADOW RUN DRFarmington, PA 15437-1391

Mailing Address103 New Meadow Run DrFarmington, PA 15437-1391 · (845) 481-7014 · Fax (724) 329-0942

Phone(845) 481-7014

Fax(724) 329-0942

Sole ProprietorNo

Enumeration DateDecember 22, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2022

✔ NPI 1780661595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS-030926-L

Definition

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.

103 NEW MEADOW RUN DR, Farmington, PA 15437

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Other Identifiers 4

Medicaid01892295NY

Medicaid001778089 003PA

Other047677-1NY · License

OtherDS-030926-LPA · License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAK VALLEY MEDICAL & DENTAL, PC

Family Medicine