COL-DENT LAB, INC. (NPI# 1861682601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861682601 |
| Entity Type | Organization |
| Organization Name | COL-DENT LAB, INC. |
| Practice Address |
4031 Legion Dr Hamburg NY 14075-4507 |
| Practice Telephone | 7166466800 |
| Practice Fax Number | 7163120036 |
| Mailing Telephone | 7166466800 |
| Mailing Fax Number | 7163120036 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |
| Authorized Official Name | DR. DOMINIC A COLARUSSO JR. (PRESIDENT) |
| Authorized Official Telephone | 7163728017 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | Laboratories |
| Street Address |
4031 LEGION DR |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265545529 | Steven J Hietanen | Dentist | 4031 Legion Dr, Hamburg, NY 14075-4507 | 2006-08-17 |
| 1730497140 | Andrew J Dusel | Dentist | 4031 Legion Dr, Hamburg, NY 14075-4507 | 2010-09-20 |
| 1245420090 | Volumetric Craniofacial Imaging Centers | Clinic/Center | 4031 Legion Dr, Hamburg, NY 14075-4507 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223459 | Orthly, Inc. | Dental Laboratory | 115 W 27th St Ste 1002, New York, NY 10001-6448 | 2020-04-14 |
| 1205299518 | Smile In The City Dental Group | Dental Laboratory | 110 E 40th St Rm 200, Suite 200, New York, NY 10016-1801 | 2016-04-04 |
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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.