Organization · Type 2 NPI

Associates In Maxillofacial and Oral Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Castle Rock, CO

NPI number 1104606664 Active

Practice location

755 Maleta Ln
Castle Rock, CO 80108-7610

Call (303) 217-8017 Map

Fax (719) 599-0575

Mailing address

1755 Telstar Dr Ste 210
Colorado Springs, CO 80920-1018

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

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.

Another provider at this address

Eric Michael Lomas, DDSOral and Maxillofacial Surgery (Dentist) Castle Rock, CO NPI 1740600493

Other oral and maxillofacial surgery (dentist) providers in Castle Rock

See all in Castle Rock →

NPI record

NPI: 1104606664
Entity type: Organization (Type 2)
Issued: Oct 3, 2023
Last updated: Sep 12, 2025
Status: Active
Subpart: Yes of Associates In Maxillofacial and Oral Surgery, PLLC

Other names

Amos - Castle Rock · doing business as

Authorized official

Nick Sundiam
Credentialing Manager
(719) 300-5933

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104606664

Associates In Maxillofacial and Oral Surgery, PLLC's National Provider Identifier is 1104606664, issued on Oct 3, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Castle Rock, CO. The record was last updated on Sep 12, 2025.