Kohl, Donald Jeffrey

Kohl, Donald Jeffrey is an individual health care provider with primary practice located at 438 Main St Suite 204, Middletown CT 06457-3396. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Kohl, Donald Jeffrey can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
438 Main St Suite 204 Middletown CT 06457-3396
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 007953 Connecticut
Dental Providers / General Practice 1223G0001X 007953 Connecticut

Profile Details

NPI number 1194839456
LBN Legal business name Kohl, Donald Jeffrey
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194839456 NPPES
Connecticut MEDICAID 002079532

Popular Providers