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COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC NPI 1528553070


NPI Information

NPI: 1528553070
Provider Name: COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
556 W. HWY 105
MONUMENT, CO
ZIP 80132
Phone: (720) 432-8738
Get Directions

COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC is an oral and maxillofacial surgery dentist in Monument, 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. COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC NPI is 1528553070. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

556 W. HWY 105
MONUMENT, CO
ZIP 80132
Phone: (720) 432-8738

The provider's authorized official is Trevor Johnson .
The authorized official title is Managing Partner and has the following contact phone number (720) 432-8738.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 6/27/2018.


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 SurgeryDEN.00203577COLORADONo
21223S0112XDentistOral and Maxillofacial SurgeryDEN.00203418COLORADOYes

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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