COLBURN DDS PC TT


Address: 3535 Park St Ste 100, Norton Shores, MI 49444-3736
Phone: 2317398047

COLBURN DDS PC TT (NPI# 1699247544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699247544
Entity Type Organization
Organization Name COLBURN DDS PC TT
Practice Address 3535 Park St Ste 100
Norton Shores
MI 49444-3736
Practice Telephone 2317398047
Mailing Telephone 2317398047
Enumeration Date 2018-12-17
Last Update Date 2018-12-17
Authorized Official Name JEFFREY COLBURN (OWNER /PRESIDENT)
Authorized Official Telephone 2317398047
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Office Location

Street Address 3535 PARK ST STE 100
City NORTON SHORES
State MI
Zip Code 49444-3736

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1154972644 Tj Rampit Usa, Inc. Durable Medical Equipment & Medical Supplies 338 Bidwell Rd, Coldwater, MI 49036-9238 2019-09-25
1093360935 Willie Andrew Gaston Durable Medical Equipment & Medical Supplies 31549 Michigan Ave, Wayne, MI 48184-1414 2019-08-07
1316433808 Juvedia Tracey White Durable Medical Equipment & Medical Supplies 3085 Bay Rd Ste 8, Saginaw, MI 48603-2405 2018-07-08
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Competitor

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City NORTON SHORES
Zip Code 49444

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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