Provider Demographics
NPI:1386865251
Name:COLUMBUS, JOSEPH V (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:V
Last Name:COLUMBUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1044
Mailing Address - Country:US
Mailing Address - Phone:603-883-5157
Mailing Address - Fax:
Practice Address - Street 1:30 LOWELL RD
Practice Address - Street 2:SUITE #19
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-2800
Practice Address - Country:US
Practice Address - Phone:603-882-9955
Practice Address - Fax:603-882-9477
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice