National Provider Identifier Database

COLORADO ORAL AND FACIAL COSMETIC SURGERY PLLC
Oral and Maxillofacial Surgery

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.


Contact Information

COLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC
10535 PARK MEADOWS BLVD STE 250
LONE TREE, CO80124-8401
Phone: 303-381-7101
Fax: 303-381-7101
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for COLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC

NPI Number 1336914282
Legal business name
LBN
COLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC
Authorized official KAYVAN FATHIMANI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/21/2023
Last updated 11/21/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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