Individual provider · Type 1 NPI

Lonnie M. Sibley Jr., DDS

Oral and Maxillofacial Surgery (Dentist) · Boulder, CO

NPI number 1033287115 Active

Practice location

4155 Darley Ave
Boulder, CO 80305-6536

Fax (303) 200-7375

Mailing address

1285 Centaur Village Dr, Suite 200
Lafayette, CO 80026-1214

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X104233 (CO)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2759 (LA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1033287115

Lonnie M. Sibley Jr., DDS's National Provider Identifier is 1033287115, issued on Nov 30, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boulder, CO. The record was last updated on Jun 15, 2016.