Provider Demographics
NPI:1891751343
Name:DOLAN, TERESA A (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:A
Last Name:DOLAN
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WEST PHILADELPHIA STREET
Mailing Address - Street 2:DENTSPLY INTERNATIONAL
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401
Mailing Address - Country:US
Mailing Address - Phone:352-262-5193
Mailing Address - Fax:717-849-4471
Practice Address - Street 1:221 W PHILADELPHIA ST
Practice Address - Street 2:SUITE 60W
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-2991
Practice Address - Country:US
Practice Address - Phone:352-262-5193
Practice Address - Fax:717-849-4471
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist