Provider Demographics
NPI:1861864878
Name:DAY, COLBY (DDS)
Entity Type:Individual
Prefix:
First Name:COLBY
Middle Name:
Last Name:DAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 E COLL ST
Mailing Address - Street 2:APT #302
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4521
Mailing Address - Country:US
Mailing Address - Phone:214-949-0011
Mailing Address - Fax:
Practice Address - Street 1:1280 COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3509
Practice Address - Country:US
Practice Address - Phone:214-949-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-29
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31904122300000X
OKRES-1323122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist