Provider Demographics
NPI:1831318922
Name:COLE ORTHODONTIC ASSOCIATES PC
Entity type:Organization
Organization Name:COLE ORTHODONTIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:814-773-7674
Mailing Address - Street 1:103 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15853-1701
Mailing Address - Country:US
Mailing Address - Phone:814-773-7674
Mailing Address - Fax:814-772-5718
Practice Address - Street 1:103 CENTER ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:PA
Practice Address - Zip Code:15853-1701
Practice Address - Country:US
Practice Address - Phone:814-773-7674
Practice Address - Fax:814-772-5718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty