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BLUE RIVER ORAL SURGERY NPI 1578706651


NPI Information

NPI: 1578706651
Provider Name: BLUE RIVER ORAL SURGERY

Doing Business As: ALPINE O.M.S.

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
975 NORTH TEN MILE DRIVE
SUITE E 11
FRISCO, CO
ZIP 80443
Phone: (970) 668-1314
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BLUE RIVER ORAL SURGERY is an oral and maxillofacial surgery clinic center in Frisco, CO. The provider is an oral and maxillofacial surgery clinic or center 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. BLUE RIVER ORAL SURGERY NPI is 1578706651. The provider is registered as an organization entity type.
The provider Is Doing Business As Alpine O.m.s..

The provider's business location address is:

975 NORTH TEN MILE DRIVE
SUITE E 11
FRISCO, CO
ZIP 80443-998
Phone: (970) 668-1314
Fax: (970) 668-1057

The provider's authorized official is Karl L H Heggland .
The authorized official title is Owner and has the following contact phone number (970) 668-1314.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.


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
1261QS0112XClinic/CenterOral and Maxillofacial Surgery8755COLORADOYes

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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