Provider Demographics
NPI:1932733896
Name:COLUMBIA CENTER FOR IMPLANTS & PERIODONTICS
Entity Type:Organization
Organization Name:COLUMBIA CENTER FOR IMPLANTS & PERIODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAPPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-997-1189
Mailing Address - Street 1:6395 DOBBIN RD STE 208
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4759
Mailing Address - Country:US
Mailing Address - Phone:410-997-1189
Mailing Address - Fax:410-992-5474
Practice Address - Street 1:6395 DOBBIN RD STE 208
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4759
Practice Address - Country:US
Practice Address - Phone:410-997-1189
Practice Address - Fax:410-992-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty