ROCKY MOUNTAIN ORAL SURGERY NPI 1194819359

NPI Information

  • NPI: 1194819359
  • Provider Name: ROCKY MOUNTAIN ORAL SURGERY
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Other Name: R. P. HANAWALT, DDS
  • Address: 1029 ROBERTSON ST
    FORT COLLINS, CO
    ZIP 80524
  • Phone: (970) 493-4434

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NPI Details

ROCKY MOUNTAIN ORAL SURGERY is an oral and maxillofacial surgery dentist in Fort Collins, 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. ROCKY MOUNTAIN ORAL SURGERY NPI is 1194819359. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is R. P. Hanawalt, Dds.

The provider's business location address is:

1029 ROBERTSON ST
FORT COLLINS, CO
ZIP 80524-926
Phone: (970) 493-4434

The provider's authorized official is Ronald P. Hanawalt .
The authorized official title is President and has the following contact phone number (970) 493-4434.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery203COLORADOYes

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This page was last updated on: 11/21/2025

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