Provider Demographics
NPI:1134324155
Name:KROL, JOLENE ALICIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOLENE
Middle Name:ALICIA
Last Name:KROL
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 1:55 PITTSFIELD RD STE 4C
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2185
Mailing Address - Country:US
Mailing Address - Phone:413-298-3717
Mailing Address - Fax:
Practice Address - Street 1:55 PITTSFIELD RD STE 4C
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2185
Practice Address - Country:US
Practice Address - Phone:413-298-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice