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Coal Creek Oral Surgery And Dental Implant Center, Pllc
Oral and Maxillofacial Surgery (Dentist) in Lafayette, Colorado
NPI 1154864106

Coal Creek Oral Surgery And Dental Implant Center, Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Lafayette, CO and is specialized in Oral and Maxillofacial Surgery. Coal Creek Oral Surgery And Dental Implant Center, Pllc practices in Lafayette, CO. The NPI Number for Coal Creek Oral Surgery And Dental Implant Center, Pllc is 1154864106 and holds a License No. 8636 (Colorado).

The current practice location address for Coal Creek Oral Surgery And Dental Implant Center, Pllc is 1771 Cherokee Trl, Lafayette, CO and can be reached out via phone at 720-588-2505.

Location: 1771 Cherokee Trl, Lafayette, CO, 80026-7088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154864106
Provider Name
Coal Creek Oral Surgery And Dental Implant Center, Pllc
Credential
Provider Entity Type
Organization
Address
1771 Cherokee Trl, Lafayette, CO, 80026-7088
Phone Number
720-588-2505
Fax Number
Provider Enumeration Date
11/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84870052 05 CO
institution
Provider Business Practice Location Address Details
Address
1771 Cherokee Trl
City
Lafayette
State
Colorado
Zip
80026-7088
Phone Number
720-588-2505
Fax Number
person
Provider Business Mailing Address Details
Address
1771 Cherokee Trl
City
Lafayette
State
Colorado
Zip
80026-7088
Phone Number
720-588-2505
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
8636 (Colorado)
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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