Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin R Kolasa, DMD, MD

Individual provider Specialist · NPI 1598100372

Dr. Justin R Kolasa, DMD, MD is an Oral Surgery in Danville, Kentucky. Graduated from University of Kentucky College of Medicine in 2016, 10 years ago. Practices with Beto and Bogardus, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2013
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 S 4th St
Danville, KY 40422-2094
Phone: (859) 236-1130
Fax: (859) 239-9384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Rose St, Lexington, KY 40536-0292 — (859) 749-5824
  • 399 W Maple Leaf Rd, Maysville, KY 41056-9176 — (606) 564-9495

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 9346 (KY)
Specialist Taxonomy 174400000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598100372
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Beto And Bogardus — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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