Organization · Type 2 NPI

Cheyenne Mountain Oral Surgery PC

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

NPI number 1689167280 Active

Practice location

640 Southpointe Ct Ste 150
Colorado Springs, CO 80906-3884

Mailing address

4643 S Ulster St Ste 300
Denver, CO 80237-3028

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

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About NPI 1689167280

Cheyenne Mountain Oral Surgery PC's National Provider Identifier is 1689167280, issued on Jun 8, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 8, 2018.