Individual provider · Type 1 NPI

George Wayne Haltom Iii, DDS

Oral and Maxillofacial Surgery (Dentist) · Glenwood Springs, CO

NPI number 1619051968 Active

Practice location

406 S Hyland Park Drive, Suite B
Glenwood Springs, CO 81601-4274

Fax (970) 945-0760

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XHD104468 (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.

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About NPI 1619051968

George Wayne Haltom Iii, DDS's National Provider Identifier is 1619051968, issued on Oct 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glenwood Springs, CO. The record was last updated on Feb 19, 2008.