# ADAM S COLOMBO, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568683423
- **Authorized official:** ADAM S COLOMBO DDS (OWNER)
- **Authorized official phone:** (913) 236-7668

## Contact information

- **Practice address:** 7301 MISSION RD, STE 317, PRAIRIE VILLAGE, KS 66208-3006
- **Practice address phone:** (913) 236-7668
- **Practice address fax:** (913) 432-4520
- **Mailing address:** 7301 MISSION RD, STE 317, PRAIRIE VILLAGE, KS 66208-3006
- **Mailing address phone:** (913) 236-7668
- **Mailing address fax:** (913) 432-4520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 60318 | KS | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1932263100 | INDIVIDUAL NPI | KS |