Organization · Type 2 NPI

Glenwood Oral Surgery, P.c.

Oral and Maxillofacial Surgery Clinic/Center · Glenwood Springs, CO

NPI number 1043480452 Active

Practice location

406 South Hyland Park Dr, Suite B
Glenwood Springs, CO 81601

Fax (970) 945-0760

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XHD104468 (CO)

Oral and Maxillofacial Surgery Clinic/Center: 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.

About NPI 1043480452

Glenwood Oral Surgery, P.c.'s National Provider Identifier is 1043480452, issued on Mar 3, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Glenwood Springs, CO. The record was last updated on Mar 3, 2008.