| Columbia Dental | |
|
483 W Middle Tpke Manchester CT 06040-3863 | |
| (860) 645-0111 | |
| (860) 533-9027 |
| Full Name | Columbia Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 483 W Middle Tpke, Manchester, Connecticut |
| Authorized Official Name and Position | Abbas Mohammadi (OWNER/DENTIST) |
| Authorized Official Contact | 8606450111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Dental 483 W Middle Tpke Manchester CT 06040-3863 Ph: (860) 645-0111 | Columbia Dental 483 W Middle Tpke Manchester CT 06040-3863 Ph: (860) 645-0111 |
| NPI Number | 1740225317 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740225317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008514 (Connecticut) | Primary |
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