Anthony Ewell-Kollmann, DMD
NPI 1952885121 · on the registry since 2018
Practice
- Address
- 90 Hope Dr
Mountain Home Afb, ID 83648 - Phone
- (208) 828-7355
- Organisation at this address
- Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain HomeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Additional practice sites
- 2630 Central Ave, Eielson Afb, AK
- Offutt Air Force Base, Apo, AA
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-26
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 Idaho