Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275688020 Individual Practitioner Male Practitioner

Dr. Michael D Koller , DMD

Dentist - General Practice • Lewisburg, KY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Koller, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lewisburg, KY. Practice services are available at 288 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

288 N Main St

Lewisburg, KY 42256

Telephone 2707554899
Fax 2707553285
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lewisburg, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lewisburg, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 6230

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
60062304 (KY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 288 N MAIN ST, LEWISBURG, KY 42256 (Tel: 2707554899)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 40, LEWISBURG, KY 422560040 (Tel: 2707554899)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KOLLER, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6230 in KY)

🟢
Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275688020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 40

Lewisburg, KY 422560040

Phone: 2707554899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.