Provider Demographics
NPI:1023025095
Name:COLUMBIA DENTAL ASSOCIATES INC.
Entity Type:Organization
Organization Name:COLUMBIA DENTAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FROILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:407-446-7940
Mailing Address - Street 1:1135 W COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-3202
Mailing Address - Country:US
Mailing Address - Phone:407-933-4343
Mailing Address - Fax:407-944-1434
Practice Address - Street 1:11228 BRIDGE HOUSE RD
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-5405
Practice Address - Country:US
Practice Address - Phone:407-446-7940
Practice Address - Fax:407-944-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty