IndividualActive
Timothy Koll, D.D.S.
NPI 1154403194 · Oral and Maxillofacial Pathology Dentistry · Appleton, WI
Provider details
- NPI number
- 1154403194
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 4243 (WI)
Specialties & taxonomies
Dental Providers
Practice location
2410 E. Evergreen Dr.
Appleton, WI 54913-4913
Phone: (920) 832-9500
Fax: (920) 832-9490
Approximate (ZIP-level) locationGet directions
Mailing address
2410 E. Evergreen Dr.
Appleton, WI 54913-4913
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.