Provider Demographics
NPI:1003954504
Name:TIMOTHY S COLTON DDS PC
Entity Type:Organization
Organization Name:TIMOTHY S COLTON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:STANFORD
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-871-7800
Mailing Address - Street 1:164 WASHINGTON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-871-7800
Mailing Address - Fax:781-871-5553
Practice Address - Street 1:164 WASHINGTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061
Practice Address - Country:US
Practice Address - Phone:781-871-7800
Practice Address - Fax:781-871-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17127204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Multi-Specialty