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Anthony Ewell-Kollmann, DMD — NPI 1952885121, Mountain Home Afb, ID | NPI Central

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NPI 1952885121

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Anthony Ewell-Kollmann, DMD

NPI 1952885121 · Dentist · Mountain Home Afb, ID

Provider details

NPI number: 1952885121
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 34647 (TX)

Specialties & taxonomies

DentistPrimary122300000XLicense 34647 (TX)
Dental Providers

Practice location

90 Hope Dr

Mountain Home Afb, ID 83648-1057

Phone: (208) 828-7355

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

7015 Imlay Loop

Mountain Home Afb, ID 83648-4801

Additional practice locations (2)

Offutt Air Force Base
Apo, AA 68113
Phone: (402) 294-1110
2630 Central Ave
Eielson Afb, AK 99702
Phone: (907) 377-6569

Registry dates

Enumerated: 2018-09-24
Last updated: 2022-09-26
Certified: 2022-09-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.