COLUMBIA IMPLANT CENTER LLC
NPI 1093502312
Dentist - Oral and Maxillofacial Surgery in Manchester, CT

Active since April 21, 2025
483 MIDDLE TPKE W STE 309, MANCHESTER, CT 06040(860) 645-0111 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Columbia Implant Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBIA IMPLANT CENTER LLC (NPI 1093502312) is a healthcare organization registered as an oral and maxillofacial surgery in Manchester, Connecticut and active in the NPI registry since April 2025. The organization lists Abbas Mohammadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1093502312
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCOLUMBIA IMPLANT CENTER LLC
Location Address483 MIDDLE TPKE W STE 309Manchester, CT 06040-3865
Mailing Address483 Middle Tpke W Ste 309Manchester, CT 06040-3865 · (860) 645-0111
Organization SubpartNo
Authorized OfficialAbbas MohammadiOwner · (860) 985-2458
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1093502312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
483 MIDDLE TPKE W STE 309, Manchester, CT 06040

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
483 MIDDLE TPKE W STE 309
MANCHESTER, CT 06040
Dentist
483 MIDDLE TPKE W STE 309
MANCHESTER, CT 06040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbia Implant Center LLC's NPI number?

The NPI number for Columbia Implant Center LLC is 1093502312. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Columbia Implant Center LLC located?

Columbia Implant Center LLC is located at 483 Middle Tpke W Ste 309, Manchester, CT 06040. The listed phone number is (860) 645-0111.

What is Columbia Implant Center LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Columbia Implant Center LLC was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.