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COLORADO SPRINGS ORAL AND FACIAL SURGERY NPI 1659755338


NPI Information

NPI: 1659755338
Provider Name: COLORADO SPRINGS ORAL AND FACIAL SURGERY

Former Legal Business Name: AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3100 N ACADEMY BLVD
#213
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 597-4060
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COLORADO SPRINGS ORAL AND FACIAL SURGERY 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. COLORADO SPRINGS ORAL AND FACIAL SURGERY NPI is 1659755338. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Affiliates In Oral And Maxillofacial Surgery.

The provider's business location address is:

3100 N ACADEMY BLVD
#213
COLORADO SPRINGS, CO
ZIP 80917-321
Phone: (719) 597-4060
Fax: (719) 574-2140

The provider's authorized official is Cynthia K Ostrom .
The authorized official title is Reception and has the following contact phone number (719) 597-4060.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 2/13/2017.


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 Surgery10759COLORADOYes

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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