Individual provider · Type 1 NPI

Peter C. Colella, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL

NPI number 1437124518 Active

Practice location

2080 Child St
Jacksonville, FL 32214-5005

Call (904) 542-7540 Map

Mailing address

1629 Waters Edge Dr
Orange Park, FL 32003-8697

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS029310L (PA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1437124518

Peter C. Colella, DMD, MD's National Provider Identifier is 1437124518, issued on Feb 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.