# FAIRMONT DENTAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356531545
- **Authorized official:** DR. JAY N KALOLA DMD (OWNER)
- **Authorized official phone:** (610) 435-1288

## Contact information

- **Practice address:** 1414 W FAIRMONT ST, ALLENTOWN, PA 18102-1021
- **Practice address phone:** (610) 435-1288
- **Practice address fax:** (610) 435-5451
- **Mailing address:** 1414 W FAIRMONT ST, ALLENTOWN, PA 18102-1021
- **Mailing address phone:** (610) 435-1288
- **Mailing address fax:** (610) 435-5451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS012453L | PA | — |
| 122300000X | Dentist | DS016583L | PA | — |
| 122300000X | Dentist | DS020234A | PA | Yes |
| 122300000X | Dentist | DS037274 | PA | — |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 07/25/2007