Colorado Surgical Clinic, Pc in Colorado Springs - Oral And Maxillofacial Surgery
Colorado Surgical Clinic, Pc - NPI 1598936163
Colorado Surgical Clinic, Pc is a Oral And Maxillofacial Surgery in Colorado Springs, Colorado. Colorado Surgical Clinic, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Colorado Surgical Clinic, Pc is 1598936163. The last update date is 2008-03-21.
Colorado Surgical Clinic, Pc's current location address is 640 Southpointe Ct, Colorado Springs, Colorado. You can contact this provider via phone number 7195406350 and fax number 7195279487. The mailing address for Colorado Surgical Clinic, Pc is 640 Southpointe Ct, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Colorado Surgical Clinic, Pc |
|---|---|
| Address | 640 Southpointe Ct, Colorado Springs, Colorado |
| Phone Number | 7195406350 |
| Fax Number | 7195279487 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Renehan W Bradley |
| Credentials | MD,DDS |
| Telephone Number | 7195406350 |
NPI Number Detail
| NPI Number | 1598936163 |
|---|---|
| Provider Enumeration Date | 2008-03-21 |
| Last Updated Date | 2008-03-21 |
Provider Mailing Address Detail
| Address | 640 Southpointe Ct |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809063856 |
| Phone Number | 7195406350 |
| Fax Number | 7195279487 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 8508 |
|
Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49086804 | CO | -- |
Post Comment/ Review Below
What is the Colorado Surgical Clinic, Pc's 1598936163?
The Colorado Surgical Clinic, Pc's NPI (National Provider Identifier) Number is 1598936163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Colorado Surgical Clinic, Pc?
The Colorado Surgical Clinic, Pc is physically situated at 640 Southpointe Ct, in the city of Colorado Springs, state of CO, with the postal code 809063856.
What is Colorado Surgical Clinic, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Colorado Surgical Clinic, Pc is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
When did Colorado Surgical Clinic, Pc receive its 1598936163 assignment?
The Colorado Surgical Clinic, Pc was assigned its 1598936163 on 2008-03-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Colorado Surgical Clinic, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Colorado Surgical Clinic, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-21.
NPI Number: 1902809924
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