Provider Demographics
NPI:1497912638
Name:KOHLER, RICHARD E (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
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 1:106 NE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:50849-1269
Mailing Address - Country:US
Mailing Address - Phone:641-743-2026
Mailing Address - Fax:
Practice Address - Street 1:106 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IA
Practice Address - Zip Code:50849-1269
Practice Address - Country:US
Practice Address - Phone:641-743-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6392122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist