MEDICARE: DR. KOLMAN P APT D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	0006637	VA
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DEN1000669	DC

General Provider Information

NPI Number	:	1972652790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOLMAN P APT D.M.D.

Provider Business Mailing Address
First Line	:	1300 PROVIDENCE TER
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22101-2649
Country	:	US
Telephone Number	:	703-407-5366
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 WISCONSIN AVE NW STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20015-2015
Country	:	US
Telephone Number	:	202-686-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	09/24/2024

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Directions to “ DR. KOLMAN P APT D.M.D.” Practice Location

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