Peter Joseph Koletar Jr. is a Crossville, Tennessee based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Peter Joseph Koletar Jr. is
DS0000007173 for Dentistry in Tennessee. His current practice location is
3121 N Main St, Crossville. Patients can reach him at
931-484-9400.
Peter Joseph Koletar Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Peter Joseph Koletar Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Peter Joseph Koletar Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3121 N Main St, Crossville,
Tennessee, 38555 |
| Phone: | 931-484-9400 |
| Fax: | 931-484-1477 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1588772065 |
| NPI Enumeration Date: | 26 Aug, 2006 |
| NPI Last Update On: | 03 Jan, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Joseph Koletar Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| DS0000007173 | Dentistry | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Peter Joseph Koletar Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3204906 | Medicaid | Texas | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3121 N Main St,
Crossville, Tennessee |
| Zip: | 38555 |
| Phone Number: | 931-484-9400 |
| Fax Number: | 931-484-1477 |
Patients can reach Peter Joseph Koletar Jr. at
3121 N Main St, Crossville, Tennessee or can
call to book an appointment on 931-484-9400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.