Dr. Michael Thomas Kolodychak
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4600 Zuck Rd
Erie
, Pennsylvania 16506-4932
Dr. Michael Thomas Kolodychak
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4600 Zuck Rd
Erie
, Pennsylvania 16506-4932
(814) 838-7227
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Thomas Kolodychak
- 4600 Zuck Rd
- Erie, PA
- Zip : 16506-4932
- Fax : (814) 838-7227
- Phone : (814) 838-2144
Second Address
- Dr. Michael Thomas Kolodychak
- 4600 Zuck Rd
- Erie, PA
- Zip : 16506-4932
- Fax : (814) 838-7227
- Phone : (814) 838-2144
Reviews
FAQs
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What type of doctor is Dr. Michael Thomas Kolodychak
In what state does Dr. Michael Thomas Kolodychak practice in?
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What is Dr. Michael Thomas Kolodychak ’s gender?
Is Dr. Michael Thomas Kolodychak a sole practitioner?
Is Dr. Michael Thomas Kolodychak accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | DS029985L | PA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | DS029985L | PA |
National Provider Identifier
| NPI | 1376519181 |
|---|---|
| Provider Name | Dr. Michael Thomas Kolodychak |
| First Address | Erie, PA 16506-4932 |
| Second Address | Erie, PA 16506-4932 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 21/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DS029985L | STATE LICENSE (01) | PA |
| U80860 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.