GRAND JUNCTION ORAL SURGERY ASSOCIATES P.C. NPI 1114008224

NPI Information

  • NPI: 1114008224
  • Provider Name: GRAND JUNCTION ORAL SURGERY ASSOCIATES, P.C.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • CLIA Number: 06D0644472
  • Address: 2532 PATTERSON RD
    SUITE 10
    GRAND JUNCTION, CO
    ZIP 81505
  • Phone: (970) 241-2820

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NPI Details

GRAND JUNCTION ORAL SURGERY ASSOCIATES, P.C. is an oral and maxillofacial surgery dentist in Grand Junction, 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. GRAND JUNCTION ORAL SURGERY ASSOCIATES, P.C. NPI is 1114008224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2532 PATTERSON RD
SUITE 10
GRAND JUNCTION, CO
ZIP 81505-098
Phone: (970) 241-2820
Fax: (970) 248-9553

The provider's authorized official is Kenneth Eugene Perino .
The authorized official title is Owner and has the following contact phone number (970) 241-2820.

The CLIA number assigned to this NPI record is 06D0644472 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/4/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryCOLORADOYes

What is NPI?

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This page was last updated on: 3/30/2025

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