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Contact Information

ASPEN ORAL AND FACIAL SURGERY, PLLC
671 MITCHELL WAY
SUITE 100
ERIE, CO80516
 Phone: 720-990-0381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for ASPEN ORAL AND FACIAL SURGERY, PLLC

NPI # 1295271450
LBN Legal business name ASPEN ORAL AND FACIAL SURGERY, PLLC
Authorized official EUGENE KANG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2017
Last updated 01/12/2017 - About 9 years ago
Identifiers
CO License # 202361
CO License # 55871
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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