Organization Name: | TIMOTHY S COLTON DDS PC |
NPI Number: | 1003954504 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY STANFORD COLTON (PRESIDENT OWNER) |
Mailing Address: | 164 Washington St Suite 102 Norwell |
State: | MA US |
Postal Code: | 02061 |
Phone Number: | 7818717800 |
Fax Number: | 7818715553 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | 17127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |