Provider Demographics
NPI:1083799845
Name:COLOMB, JOHN JOSEPH III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:COLOMB
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1515 POYDRAS ST
Mailing Address - Street 2:SUITE 1480
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-523-3160
Mailing Address - Fax:504-522-0745
Practice Address - Street 1:1515 POYDRAS ST
Practice Address - Street 2:SUITE 1480
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-523-3160
Practice Address - Fax:504-522-0745
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA3263122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist