Provider Demographics
NPI:1205685757
Name:KOLAR, SHREYA (DDS)
Entity type:Individual
Prefix:
First Name:SHREYA
Middle Name:
Last Name:KOLAR
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 1:6 FILLMORE DR
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3705
Mailing Address - Country:US
Mailing Address - Phone:845-826-1914
Mailing Address - Fax:
Practice Address - Street 1:555 SECOND AVE STE D-500
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3641
Practice Address - Country:US
Practice Address - Phone:610-409-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist