Provider Demographics
NPI:1972652790
Name:APT, KOLMAN P (DMD)
Entity type:Individual
Prefix:DR
First Name:KOLMAN
Middle Name:P
Last Name:APT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PROVIDENCE TER
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2649
Mailing Address - Country:US
Mailing Address - Phone:703-407-5366
Mailing Address - Fax:
Practice Address - Street 1:5301 WISCONSIN AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2015
Practice Address - Country:US
Practice Address - Phone:202-686-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00066371223X0400X
DCDEN10006691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics