Individual
COLBY DAY
Active
Individual
COLBY DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
31904
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11317
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14142
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6789
OK
Other
Enumeration date
10/29/2015
Last updated
01/09/2026
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