Provider Demographics
NPI:1235272006
Name:KOHLER, JONATHAN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:E
Last Name:KOHLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N BALPH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3224
Mailing Address - Country:US
Mailing Address - Phone:412-761-3110
Mailing Address - Fax:412-761-4383
Practice Address - Street 1:51 N BALPH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3224
Practice Address - Country:US
Practice Address - Phone:412-761-3110
Practice Address - Fax:412-761-4383
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-031538-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice