Colorado West Oral & Maxillofacial Surgery Pc in Grand Junction - Specialist

Colorado West Oral & Maxillofacial Surgery Pc - NPI 1588824437

Colorado West Oral & Maxillofacial Surgery Pc is a Specialist in Grand Junction, Colorado. Colorado West Oral & Maxillofacial Surgery Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Colorado West Oral & Maxillofacial Surgery Pc is 1588824437. The last update date is 2021-01-14.

Colorado West Oral & Maxillofacial Surgery Pc's current location address is 2530 N 8th St Ste 103, Grand Junction, Colorado. You can contact this provider via phone number 9702452222 and fax number 9702434438. The mailing address for Colorado West Oral & Maxillofacial Surgery Pc is 2530 N 8th St Ste 103, Grand Junction, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Colorado West Oral & Maxillofacial Surgery Pc
Address 2530 N 8th St Ste 103, Grand Junction, Colorado
Phone Number 9702452222
Fax Number 9702434438
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kelly S. Stephen
Credentials DMD
Telephone Number 9702452222

NPI Number Detail

NPI Number 1588824437
Provider Enumeration Date 2008-06-13
Last Updated Date 2021-01-14

Provider Mailing Address Detail

Address 2530 N 8th St Ste 103
City Grand Junction
State Colorado (CO)
Post Code 815018856
Phone Number 9702452222
Fax Number 9702434438

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 104240
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4014940 CO --

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FAQs about Colorado West Oral & Maxillofacial Surgery Pc

What is the Colorado West Oral & Maxillofacial Surgery Pc's 1588824437?

The Colorado West Oral & Maxillofacial Surgery Pc's NPI (National Provider Identifier) Number is 1588824437. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Colorado West Oral & Maxillofacial Surgery Pc is physically located?

The Colorado West Oral & Maxillofacial Surgery Pc is situated at the following address: 2530 N 8Th St Ste 103, Grand Junction, CO 815018856.

What is Colorado West Oral & Maxillofacial Surgery Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Colorado West Oral & Maxillofacial Surgery Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date was the 1588824437 assigned to Colorado West Oral & Maxillofacial Surgery Pc?

The Colorado West Oral & Maxillofacial Surgery Pc was issued its 1588824437 on 2008-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Colorado West Oral & Maxillofacial Surgery Pc most recently updated or revised?

The details related to Colorado West Oral & Maxillofacial Surgery Pc, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-14.

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