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AFFILIATES IN ORAL & MAXILLOFACIAL SURGERYP.C. NPI 1447384532


NPI Information

NPI: 1447384532
Provider Name: AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3100 N ACADEMY BLVD
SUITE 213
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 597-4060
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AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C. 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. AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C. NPI is 1447384532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is James Edward Berwick .
The authorized official title is President and has the following contact phone number (719) 597-4060.

The enumeration date for this NPI number is 3/14/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery7202COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
176159361MEDICAIDCOLORADO

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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