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MONUMENT ORAL AND FACIAL SURGERY PC NPI 1174768998


NPI Information

NPI: 1174768998
Provider Name: MONUMENT ORAL AND FACIAL SURGERY, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 06D2237334

Address:
607 25 RD STE 100
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 424-5014
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MONUMENT ORAL AND FACIAL SURGERY, PC 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. MONUMENT ORAL AND FACIAL SURGERY, PC NPI is 1174768998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

607 25 RD STE 100
GRAND JUNCTION, CO
ZIP 81505-287
Phone: (970) 424-5014
Fax: (970) 424-5062

The provider's authorized official is Gregory James Hunter .
The authorized official title is Owner and has the following contact phone number (970) 424-5014.

The CLIA number assigned to this NPI record is 06D2237334 - other - nurse practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2008 and was last updated on 12/8/2008.


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 Surgery9348COLORADOYes

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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