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COLUMBIA DENTAL GROUP
NPI 1891825600
Dentist - General Practice in Johnson City, NY

Active since March 07, 2007
515 COLUMBIA DRIVE, JOHNSON CITY, NY 13790(607) 770-1122(607) 770-1176 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Columbia Dental Group NPPES

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

COLUMBIA DENTAL GROUP (NPI 1891825600) is a healthcare organization registered as a general practice in Johnson City, New York and active in the NPI registry since March 2007. The organization lists Roger Antonio Conti, Partner, as its authorized official.

NPPES Registry Identity

NPI1891825600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARUSICH & CONTI DENTAL, PLLC
Location Address515 COLUMBIA DRIVEJohnson City, NY 13790
Mailing Address515 Columbia DriveJohnson City, NY 13790 · (607) 770-1122 · Fax (607) 770-1176
Phone(607) 770-1122
Fax(607) 770-1176
Organization SubpartNo
Authorized OfficialRoger Antonio ContiPartner · (607) 770-1122
Enumeration DateMarch 7, 2007
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1891825600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 041409
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
515 COLUMBIA DRIVE, Johnson City, NY 13790
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Other Names 1

Doing Business AsColumbia Dental Group

Other Identifiers 1

Medicaid104448556NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. MICHAEL KENT SPRAGUE DDS
Dentist (General Practice)
515 COLUMBIA DRIVE
JOHNSON CITY, NY 13790
Broome County (607) 770-1122
CARPATHIAN DENTAL ASSOC
Clinic/Center
515 COLUMBIA DRIVE
JOHNSON CITY, NY 13790
Broome County (607) 770-1122

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 Marusich & Conti Dental, PLLC's NPI number?

The NPI number for Marusich & Conti Dental, PLLC is 1891825600. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Columbia Dental Group.

Where is Marusich & Conti Dental, PLLC located?

Marusich & Conti Dental, PLLC is located at 515 Columbia Drive, Johnson City, NY 13790. The listed phone number is (607) 770-1122.

What is Marusich & Conti Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Marusich & Conti Dental, PLLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.