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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

Active Organization

CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC is a Oral & Maxillofacial Surgery (Physician) organization located in CASTLE ROCK, Colorado. NPI 1508146630 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · CASTLE ROCK, CO

Registration Details

NPI Number
1508146630
Provider Type
Organization
NPI Issued
Aug 20, 2011 (15.015967920464 yrs)
Last Updated
Apr 8, 2024
Licenses
10214 (CO)
21512 (TX)
21512 (TX)
10214 (CO)

Practice Information

Address
2352 MEADOWS BLVD
205
CASTLE ROCK, CO, 801098406
Browse CO providers · Browse ZIP 80109
Phone
3036637890
Fax
8887659130
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.