Organization · Type 2 NPI
Columbia Dental Center LLC
Customized Equipment (DME) · Columbia, IL
NPI number
1356897433
Active
Practice location
915 N Main St, St #2
Columbia, IL 62236-1157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019027680 (IL) |
| Customized Equipment (DME) Primary | 332BC3200X | 019027680 (IL) |
Customized Equipment (DME): Definition to come...
2 other providers at this address
About NPI 1356897433
Columbia Dental Center LLC's National Provider Identifier is 1356897433, issued on Aug 29, 2016. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Columbia, IL. The record was last updated on Aug 29, 2016.