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MARUSICH & CONTI DENTAL PLLC NPI 1891825600


NPI Information

NPI: 1891825600
Provider Name: MARUSICH & CONTI DENTAL, PLLC

Doing Business As: COLUMBIA DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
515 COLUMBIA DRIVE
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 770-1122
Get Directions

MARUSICH & CONTI DENTAL, PLLC is a general practice dentist in Johnson City, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARUSICH & CONTI DENTAL, PLLC NPI is 1891825600. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Columbia Dental Group.

The provider's business location address is:

515 COLUMBIA DRIVE
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 770-1122
Fax: (607) 770-1176

The provider's authorized official is Roger Antonio Conti .
The authorized official title is Partner and has the following contact phone number (607) 770-1122.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 4/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice041409NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104448556MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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