DR. DOMENICK PETER COLETTI (NPI# 1720071236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720071236 |
| Entity Type | Individual |
| Full Name | DR. DOMENICK PETER COLETTI |
| Credential | DDS, MD |
| Practice Address |
10710 Charter Dr Suite 330 Columbia MD 21044-3128 |
| Practice Telephone | 4109971010 |
| Practice Fax Number | 4109971010 |
| Mailing Telephone | 4109971010 |
| Mailing Fax Number | 4109970807 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2009-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | D0060424 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
10710 CHARTER DR SUITE 330 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324333 | Keith D Falcao | Surgery | 10710 Charter Dr, Ste 230, Columbia, MD 21044-3128 | 2005-05-23 |
| 1568095768 | Sara Saliem | Obstetrics & Gynecology | 10710 Charter Dr, Columbia, MD 21044-3128 | 2020-02-15 |
| 1225691785 | Jaime E Chabuz | Advanced Practice Midwife | 10710 Charter Dr, Columbia, MD 21044-3128 | 2019-04-19 |
| 1912434697 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 10710 Charter Dr, Suite 140, Columbia, MD 21044-3128 | 2017-05-12 |
| 1386187417 | Christine Thompson Miller | Physical Therapist | 10710 Charter Dr, Suite 300, Columbia, MD 21044-3128 | 2016-11-21 |
| 1679021851 | Central Maryland Oral and Facial Surgical Arts of Columbia, LLC | Dentist | 10710 Charter Dr, Suite 330, Columbia, MD 21044-3128 | 2016-09-15 |
| 1508313420 | Orsam Ahmed | Physical Therapist | 10710 Charter Dr, Suite 300, Columbia, MD 21044-3128 | 2016-09-08 |
| 1578017489 | Mollye Rebecca Blaxberg | Physical Therapist | 10710 Charter Dr, Suite 240, Columbia, MD 21044-3128 | 2016-08-09 |
| 1407202864 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 10710 Charter Dr, Suite 300, Columbia, MD 21044 | 2016-05-04 |
| 1568830396 | Alysha Sewall | Nurse Practitioner | 10710 Charter Dr, Columbia, MD 21044-3128 | 2015-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
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| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366889479 | Eric J Wu | Oral & Maxillofacial Surgery | 5900 Waterloo Rd Ste 220, Columbia, MD 21045-2638 | 2013-05-30 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1043542988 | Central Maryland Oral and Maxillofacial Surgery P.a. | Oral & Maxillofacial Surgery | 10710 Charter Dr, Suite 330, Columbia, MD 21044-3128 | 2010-02-03 |
| 1477881290 | Domenick Coletti Dds, Md, PC | Oral & Maxillofacial Surgery | 10710 Charter Dr, Suite 330, Columbia, MD 21044-3128 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679902407 | Antoine G Johnson Dds LLC | Oral & Maxillofacial Surgery | 3450 Ellicott Center Dr, 104, Ellicott City, MD 21043-4172 | 2013-11-02 |
| 1043656655 | Scott Seung Young Kim | Oral & Maxillofacial Surgery | 6201 Greenbelt Rd Ste M1, College Park, MD 20740-2358 | 2013-05-22 |
| 1760558787 | Michael E Suden | Oral & Maxillofacial Surgery | 12166 Old Big Bend, Ste 101, Kirkwood, MD 63122 | 2006-11-28 |
| 1811060734 | Behrens & Kishter PC | Oral & Maxillofacial Surgery | 11404 Old Georgetown Road, Suite 104, Rockville, MD 20852 | 2006-11-16 |
| 1639141609 | Peter M Tan | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-03 |
| 1467446344 | John F Caccamese Jr. | Oral & Maxillofacial Surgery | 650 W. Baltimore St., Suite 1401, Baltimore, MD 21201 | 2005-09-07 |
| 1992798524 | Leonard Spector | Oral & Maxillofacial Surgery | 10 Warren Rd, Ste 330, Cockeysville, MD 21030-2506 | 2005-08-30 |
| 1023001641 | Spector & Krupps Dds | Oral & Maxillofacial Surgery | 1220b E Joppa Rd, Ste 314, Towson, MD 21286-5813 | 2005-08-30 |
| 1811998966 | Barry Ronald Berman | Oral & Maxillofacial Surgery | 110 Painters Mill Rd, Suite 8, Owings Mills, MD 21117-4920 | 2005-08-10 |
| 1982016812 | Leah Irene Leinbach | Oral & Maxillofacial Surgery | The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2014-05-27 |
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| 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.