| Organization Name: | JEFFREY M. COLLURA, DMD, PC |
| NPI Number: | 1861713109 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY MICHAEL COLLURA (DENTIST/CEO) |
| Mailing Address: | 7 Burnham St Turners Falls |
| State: | MA US |
| Postal Code: | 013761841 |
| Phone Number: | 4137746553 |
| Fax Number: | 4137739502 |
| NPI Enumeration Date: | 06/22/2010 |
| NPI Last Update Date: | 06/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DN1855353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |