Organization · Type 2 NPI
Longmont Oral, Facial & Implant Surgery
Oral and Maxillofacial Surgery (Dentist) · Longmont, CO
NPI number
1366975765
Active
Practice location
1551 Professional Ln Unit 260
Longmont, CO 80501-6903
Fax (303) 772-8871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN.00201841 (CO) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DEN.00010071 (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.
Other oral and maxillofacial surgery (dentist) providers in Longmont
About NPI 1366975765
Longmont Oral, Facial & Implant Surgery's National Provider Identifier is 1366975765, issued on Apr 4, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Longmont, CO. The record was last updated on Apr 4, 2017.