Organization · Type 2 NPI
Coal Creek Oral Surgery and Dental Implant Center, PLLC
Oral and Maxillofacial Surgery (Dentist) · Lafayette, CO
NPI number
1154864106
Active
Practice location
1771 Cherokee Trl
Lafayette, CO 80026-7088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 8636 (CO) |
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
About NPI 1154864106
Coal Creek Oral Surgery and Dental Implant Center, PLLC's National Provider Identifier is 1154864106, issued on Nov 23, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lafayette, CO. The record was last updated on Nov 23, 2016.