Provider Demographics
NPI:1093069973
Name:KOLLAR, JILL CHRISTINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:CHRISTINA
Last Name:KOLLAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MAIN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-7918
Mailing Address - Country:US
Mailing Address - Phone:970-237-4313
Mailing Address - Fax:970-818-5476
Practice Address - Street 1:1580 MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-7918
Practice Address - Country:US
Practice Address - Phone:970-237-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00201892122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist