Provider Demographics
NPI:1881815587
Name:COLUMBUS DENTAL CARE, PLLC
Entity type:Organization
Organization Name:COLUMBUS DENTAL CARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:COLUMBUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-882-9955
Mailing Address - Street 1:30 LOWELL RD
Mailing Address - Street 2:SUITE #19
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-2800
Mailing Address - Country:US
Mailing Address - Phone:603-882-9955
Mailing Address - Fax:603-882-4977
Practice Address - Street 1:30 LOWELL RD
Practice Address - Street 2:SUITE #19
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-2800
Practice Address - Country:US
Practice Address - Phone:603-882-9955
Practice Address - Fax:603-882-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service