Columbia Dental Center LLC

NPI #1356897433 in Columbia, Illinois

Provider Information

NPI Number: 1356897433
Entity Type: Organization
Organization Name: Columbia Dental Center LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Aug 29, 2016
Last Updated: Aug 29, 2016

Practice Location

Address: 915 N MAIN ST
Address 2: ST #2
City: Columbia
State: Illinois
ZIP Code: 62236-1157
Phone: (618) 281-6161

Authorized Official

Name: DR. RICK LEPPO, D.M.D.
Title: OWNER
Phone: (618) 281-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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