Christine M Colella, DDS
Individual provider Active NPI Dentist · Elma, NY
NPI 1508025255 · NPPES record last updated Jun 7, 2008
Key facts
- NPI
- 1508025255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 044770 (NY)
- Practice address
- 2340 Bowen Rd
Pob 350
Elma, NY 14059-9459 - Phone
- (716) 655-3441
- Fax
- (716) 655-3480
- NPI assigned
- Jun 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044770 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 044770 | NY | Yes |
Addresses
Primary practice location
2340 Bowen Rd
Pob 350
Elma, NY 14059-9459
Mailing address
2340 Bowen Rd
Pob 350
Elma, NY 14059-9459
Phone (716) 655-3441
Other providers in Elma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.