Organization · Type 2 NPI
Pagosa Dental Care PC
Oral and Maxillofacial Surgery (Dentist) · Pagosa Springs, CO
NPI number
1770018830
Active
Practice location
189 Talisman Dr, Ste E
Pagosa Springs, CO 81147-7916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DEN00008224 (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 1770018830
Pagosa Dental Care PC's National Provider Identifier is 1770018830, issued on Apr 26, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pagosa Springs, CO. The record was last updated on Apr 26, 2017.