Organization · Type 2 NPI
Evergreen Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Evergreen, CO
NPI number
1225564297
Active
Practice location
28000 Meadow Dr Unit 110
Evergreen, CO 80439-8395
Fax (720) 990-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DEN.00202720 (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 1225564297
Evergreen Oral and Maxillofacial Surgery's National Provider Identifier is 1225564297, issued on May 11, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Evergreen, CO. The record was last updated on May 11, 2017.