Dr James Gregory Koller, DDS is a
Dentist - General Practice based in North Saint Paul, Minnesota. Dr James Gregory Koller is licensed to practice in Minnesota (license number 10366) and his current practice location is
2534 7th Ave E, North Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 777-6454.
NPI number for Dr James Gregory Koller is 1902895642 and his current mailing address is 2601 Centennial Dr Ste 102, North Saint Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902895642.
Healthcare Provider's Profile
Full Name | Dr James Gregory Koller |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2534 7th Ave E, North Saint Paul, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902895642
- Provider Enumeration Date: 10/16/2005
- Last Update Date: 11/18/2019
Medical Identifiers
Medical identifiers for Dr James Gregory Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902895642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 10366 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Gregory Koller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr James Gregory Koller, DDS 2601 Centennial Dr Ste 102, North Saint Paul, MN 55109-3087 Ph: (651) 777-6454 | Dr James Gregory Koller, DDS 2534 7th Ave E, North Saint Paul, MN 55109-3003 Ph: (651) 777-6454 |
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