| Columbia Dental Management, Inc. | |
|
653 Columbia Rd Dorchester MA 02125 | |
| (617) 825-9100 | |
| (617) 506-1141 |
| Full Name | Columbia Dental Management, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 653 Columbia Rd, Dorchester, Massachusetts |
| Authorized Official Name and Position | William M Adams (PRESIDENT) |
| Authorized Official Contact | 6178259100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Dental Management, Inc. 653 Columbia Rd Dorchester MA 02125 Ph: (617) 825-9100 | Columbia Dental Management, Inc. 653 Columbia Rd Dorchester MA 02125 Ph: (617) 825-9100 |
| NPI Number | 1366719395 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366719395 | NPI | - | NPPES |
| 9903954 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12597 (Massachusetts) | Primary |
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