Rocky Mountain Oral Surgery in Fort Collins - Oral And Maxillofacial Surgery
Rocky Mountain Oral Surgery - NPI 1194819359
Rocky Mountain Oral Surgery is a Oral And Maxillofacial Surgery in Fort Collins, Colorado. Rocky Mountain Oral Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Rocky Mountain Oral Surgery is 1194819359. The last update date is 2020-08-22.
Rocky Mountain Oral Surgery's current location address is 1029 Robertson St, Fort Collins, Colorado. You can contact this provider via phone number 9704934434. The mailing address for Rocky Mountain Oral Surgery is 1029 Robertson St, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rocky Mountain Oral Surgery |
|---|---|
| Address | 1029 Robertson St, Fort Collins, Colorado |
| Phone Number | 9704934434 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hanawalt P. Ronald |
| Credentials | DDA |
| Telephone Number | 9704934434 |
NPI Number Detail
| NPI Number | 1194819359 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1029 Robertson St |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805243926 |
| Phone Number | 9704934434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 203 |
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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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What is the unique 10-digit identification code assigned to Rocky Mountain Oral Surgery by the Centers for Medicare & Medicaid Services?
The Rocky Mountain Oral Surgery has been issued the NPI (National Provider Identifier) 1194819359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rocky Mountain Oral Surgery's physical address?
The Rocky Mountain Oral Surgery is physically located at 1029 Robertson St, in the city of Fort Collins, CO, with the postal code 805243926.
What is the Rocky Mountain Oral Surgery's specialty and taxonomy code?
The Rocky Mountain Oral Surgery's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Rocky Mountain Oral Surgery receive the assignment of its 1194819359 from the Centers for Medicare & Medicaid Services?
The Rocky Mountain Oral Surgery was issued its 1194819359 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the Rocky Mountain Oral Surgery's details last updated?
The information pertaining to the Rocky Mountain Oral Surgery, including its address, specialty, and other details, was most recently updated on 2020-08-22.