Columbia Dental and Orthodontics PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COLUMBIA DENTAL AND ORTHODONTICS PLLC

Practice address

505 Dance Dr
West Columbia, TX 77486-4019

Phone

(979) 345-5135

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1801271531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LACY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DANCE DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774864019",
            "telephone_number": "979-345-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Huerta Cantu, LCDCI
• Carolyn Wood Dba Bay City Eldercare
• Central Emergency Medical Services, Inc. (Central EMS)
• Robert Lee Coburn, D.C.
• Columbia Dental
• Columbia-Brazoria Isd
• CVS Pharmacy Inc (CVS Pharmacy # 07470)
• Barbara A Davenport, LICENSED MIDWIFE
• William Bryant Davis, R. EP T., CNIM
• Hailey Dieringer, PTA

• Dentist in West Columbia, TX
• Providers in West Columbia, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.