| Columbia Dental Llc | |
|
846 Lancaster Ave Columbia PA 17512-2206 | |
| (717) 586-3201 | |
| Not Available |
| Full Name | Columbia Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 846 Lancaster Ave, Columbia, Pennsylvania |
| Authorized Official Name and Position | Tina Bazzle (OWNER) |
| Authorized Official Contact | 7175863201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Dental Llc 2685 Rosebay Dr York PA 17408-4069 Ph: (717) 586-3201 | Columbia Dental Llc 846 Lancaster Ave Columbia PA 17512-2206 Ph: (717) 586-3201 |
| NPI Number | 1578175733 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578175733 | NPI | - | NPPES |
| 8669500005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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