NPI 1366719395 · live from the CMS NPI Registry
Columbia Dental Management, INC.
Dentist, Orthodontics and Dentofacial Orthopedics in Dorchester, MA. National Provider Identifier 1366719395, active.
NPI record
| NPI | 1366719395 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 653 Columbia Rd, Dorchester, MA 02125 |
| Practice phone | 617-825-9100 |
| Enumerated | November 18, 2011 |
| Last updated | February 4, 2016 |
| Authorized official | William Adams, President |
| Other names | Columbia & Broadway, Orthodontics, INC. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12597 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.