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General NPI Number Information
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NPI Number | 1215972716
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Entity Type | Organization
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Legal Business Name | ARMANINI, KOLODYCHAK, & BASILE, L.L.P.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4600 ZUCK RD
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City | ERIE
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State | PA
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Zip | 16506-4932
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Country | US
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Telephone | 814-838-2144
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Fax | 814-838-7227
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Provider Business Mailing Address
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Address Line | 4600 ZUCK RD
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City | ERIE
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State | PA
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Zip | 16506-4932
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Country | US
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Telephone | 814-838-2144
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Fax | 814-838-7227
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHAEL THOMAS KOLODYCHAK
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Credential | D.M.D.
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Telephone | 814-838-2144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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