Provider Demographics
NPI:1578675229
Name:KOLLAR-FUREY, CORRINE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CORRINE
Middle Name:M
Last Name:KOLLAR-FUREY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E STATE ST P.O. BOX 1420
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148
Mailing Address - Country:US
Mailing Address - Phone:724-981-4270
Mailing Address - Fax:724-981-8711
Practice Address - Street 1:2200 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148
Practice Address - Country:US
Practice Address - Phone:724-981-4270
Practice Address - Fax:724-981-8711
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025191L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice