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COLORADO MAXILLOFACIAL AND ORAL SURGEONS NPI 1063900231


NPI Information

NPI: 1063900231
Provider Name: COLORADO MAXILLOFACIAL AND ORAL SURGEONS

Doing Business As: COMAX

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
4105 BRIARGATE PKWY STE 240
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 310-7670
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COLORADO MAXILLOFACIAL AND ORAL SURGEONS is an oral maxillofacial surgery in Colorado Springs, CO. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. COLORADO MAXILLOFACIAL AND ORAL SURGEONS NPI is 1063900231. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comax.

The provider's business location address is:

4105 BRIARGATE PKWY STE 240
COLORADO SPRINGS, CO
ZIP 80920-844
Phone: (719) 310-7670
Fax: (719) 666-1212

The provider's authorized official is Rebecca Facy .
The authorized official title is Owner and has the following contact phone number (719) 555-1212.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 4/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery00008955COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102239507MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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