Columbia Dental Group

LBN: Marusich & Conti Dental, Pllc
Columbia Dental Group is an health care organization with primary practice located at 515 Columbia Drive , Johnson City NY 13790. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Marusich & Conti Dental, Pllc can be contacted via phone (607) 770-1122, or through Conti, Roger Antonio via phone (607) 770-1122.

Contact Information

Primary practice address
515 Columbia Drive Johnson City NY 13790
Phone: (607) 770-1122
Fax: (607) 770-1176
Website:
Map and Directions
Authorized official contact:
Name: Conti, Roger Antonio Doctor of Dental Surgery (DDS)
Phone: (607) 770-1122

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041409 New York

Profile Details

NPI number 1891825600
LBN Legal business name Marusich & Conti Dental, Pllc
DBA Doing business as Columbia Dental Group
Authorized official Conti, Roger Antonio Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891825600 NPPES
New York MEDICAID 104448556

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