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Longmont Oral, Facial & Implant Surgery
Oral and Maxillofacial Surgery (Dentist) in Longmont, Colorado
NPI 1366975765

Longmont Oral, Facial & Implant Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Longmont, CO and is specialized in Oral and Maxillofacial Surgery. Longmont Oral, Facial & Implant Surgery practices in Longmont, CO. The NPI Number for Longmont Oral, Facial & Implant Surgery is 1366975765 and holds a License No. DEN.00201841 (Colorado).

The current practice location address for Longmont Oral, Facial & Implant Surgery is 1551 Professional Ln Unit 260, Longmont, CO and can be reached out via phone at 303-772-8870 and via fax at 303-772-8871.

Location: 1551 Professional Ln Unit 260, Longmont, CO, 80501-6903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366975765
Provider Name
Longmont Oral, Facial & Implant Surgery
Credential
Provider Entity Type
Organization
Address
1551 Professional Ln Unit 260, Longmont, CO, 80501-6903
Phone Number
303-772-8870
Fax Number
303-772-8871
Provider Enumeration Date
04/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386808533 01 CO NPI
1689797243 01 CO NPI
institution
Provider Business Practice Location Address Details
Address
1551 Professional Ln Unit 260
City
Longmont
State
Colorado
Zip
80501-6903
Phone Number
303-772-8870
Fax Number
303-772-8871
person
Provider Business Mailing Address Details
Address
1551 Professional Ln Unit 260
City
Longmont
State
Colorado
Zip
80501-6903
Phone Number
303-772-8870
Fax Number
303-772-8871
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DEN.00201841 (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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