| Anneli K Boller, DDS | |
|
103 New Meadow Run Dr, Farmington, PA 15437-1391 | |
| (845) 481-7014 | |
| (724) 329-0942 |
| Full Name | Anneli K Boller |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 103 New Meadow Run Dr, Farmington, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780661595 | NPI | - | NPPES |
| 01892295 | Medicaid | NY | |
| 001778089 003 | Medicaid | PA | |
| 047677-1 | Other | NY | LICENSE |
| DS-030926-L | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-030926-L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anneli K Boller, DDS 103 New Meadow Run Dr, Farmington, PA 15437-1391 Ph: (845) 481-7014 | Anneli K Boller, DDS 103 New Meadow Run Dr, Farmington, PA 15437-1391 Ph: (845) 481-7014 |
Nathan B Durgin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 New Meadow Run Dr, Farmington, PA 15437 Phone: 724-749-1517 | |
David M Niesslein, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4176 National Pike, Farmington, PA 15437 Phone: 724-329-8565 Fax: 724-329-8901 |