Provider Demographics
NPI:1255990172
Name:KOLOSIONEK, ALISON TAYLOR (DMD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:TAYLOR
Last Name:KOLOSIONEK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 SWEETLEAF LN
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3182
Mailing Address - Country:US
Mailing Address - Phone:440-724-5110
Mailing Address - Fax:
Practice Address - Street 1:12821 STATE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3911
Practice Address - Country:US
Practice Address - Phone:440-457-8290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0262401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice