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SQUIRE ORAL FACIAL & DENTAL IMPLANT SURGERY NPI 1396020657


NPI Information

NPI: 1396020657
Provider Name: SQUIRE ORAL, FACIAL & DENTAL IMPLANT SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1361 FRANCIS ST. STE. 101
LONGMONT, CO
ZIP 80501
Phone: (303) 772-8585
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SQUIRE ORAL, FACIAL & DENTAL IMPLANT SURGERY is an oral and maxillofacial surgery dentist in Longmont, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SQUIRE ORAL, FACIAL & DENTAL IMPLANT SURGERY NPI is 1396020657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1361 FRANCIS ST. STE. 101
LONGMONT, CO
ZIP 80501
Phone: (303) 772-8585

The provider's authorized official is Sherry K Matz .
The authorized official title is Dental Facilitator and has the following contact phone number (303) 772-8585.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 10/19/2011.


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
11223S0112XDentistOral and Maxillofacial Surgery8762COLORADOYes

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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