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CHEYENNE MOUNTAIN ORAL SURGERY PC NPI 1518561364


NPI Information

NPI: 1518561364
Provider Name: CHEYENNE MOUNTAIN ORAL SURGERY PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
640 SOUTHPOINTE CT STE 150
COLORADO SPRINGS, CO
ZIP 80906
Phone: (719) 540-6350
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CHEYENNE MOUNTAIN ORAL SURGERY PC is an oral and maxillofacial surgery dentist in Colorado Springs, 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. CHEYENNE MOUNTAIN ORAL SURGERY PC NPI is 1518561364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 SOUTHPOINTE CT STE 150
COLORADO SPRINGS, CO
ZIP 80906-884
Phone: (719) 540-6350
Fax: (719) 527-9487

The provider's authorized official is Sandra Renehan .
The authorized official title is Administrator and has the following contact phone number (719) 540-6350.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 11/23/2020.


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 SurgeryYes

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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