Provider Demographics
NPI:1871751339
Name:KOLLING, ERIN ANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ANNE
Last Name:KOLLING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WIND DRIFT DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1128
Mailing Address - Country:US
Mailing Address - Phone:320-309-6791
Mailing Address - Fax:
Practice Address - Street 1:21219 QUESTHAVEN RD
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-3410
Practice Address - Country:US
Practice Address - Phone:320-309-6791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND125101223G0001X
ORD96921223P0221X
AZD0122601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice