OrganizationActive
Columbia Implant Center LLC
NPI 1093502312 · Oral and Maxillofacial Surgery (Dentist) · Manchester, CT
Provider details
- NPI number
- 1093502312
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Abbas Mohammadi, Owner(860) 985-2458
Specialties & taxonomies
Dental Providers
Dental Providers
- Endodontics1223E0200X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
483 Middle Tpke W Ste 309
Manchester, CT 06040-3865
Phone: (860) 645-0111
Street-level locationGet directions
Mailing address
483 Middle Tpke W Ste 309
Manchester, CT 06040-3865
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.