CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC; NPI #1508146630

Contact Information

CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

2352 MEADOWS BLVD
205
CASTLE ROCK, CO 80109-8406

Phone: 303-663-7890
Fax: 888-765-9130
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)

Indicates primary specialty

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NPI Profile & details for CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

NPI # 1508146630

LBN Legal business name CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

Authorized official KRISTOPHER HART - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/20/2011

Last updated 04/08/2024 - About 2 years ago

Identifiers

CO	License #	10214
TX	License #	21512

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery

NPI Profile & details for CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

Reviews for CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC