Thomas Kollodge, DDS

NPI 1710098819 · on the registry since 2006

Practice

Address: 5100 Gamble Dr
Suite 100
St Louis Park, MN 55416
Phone: (952) 593-0779
Fax: (952) 595-6451
Organisation at this address: Group Health, Inc.
Northern Star Oral And Maxillofacial Surgery Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota