Col-Dent Lab, Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

COL-DENT LAB, INC.

Practice address

4031 Legion Dr
Hamburg, NY 14075-4507

Phone

(716) 646-6800

Fax

(716) 312-0036

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dominic A Colarusso Jr., DDS

Title

President

Phone

(716) 372-8017

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew J Dusel, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hamburg, NY
  • NPI 1730497140
  NPD (past)
• Steven J Hietanen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hamburg, NY
  • NPI 1265545529
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1861682601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 LEGION DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754507",
            "telephone_number": "716-646-6800",
            "fax_number": "716-312-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 LEGION DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754507",
            "telephone_number": "716-646-6800",
            "fax_number": "716-312-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COL-DENT LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-372-8017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Elizabeth Clarke, OTR/L
• Krista Clever, DNP, APN
• Clevermed, LLC
• Victoria L Clinch
• Mary Coble
• Kelly Coleman, PSY.D.
• Bonnie J Collins, EDM LCSWR
• John Bryan Collins
• A'Lynn Conlan
• Emma Jane Conroy, PA-C

• Dental Laboratory in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Dental Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.