DESERT SOUTHWEST ORAL AND FACIAL SURGERY; NPI #1932943701

Contact Information

DESERT SOUTHWEST ORAL AND FACIAL SURGERY

33 N ELM ST STE B
CORTEZ, CO 81321-3105

Phone: 970-516-4100
Fax: 970-632-6178
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for DESERT SOUTHWEST ORAL AND FACIAL SURGERY

NPI #	`1932943701`
LBN Legal business name	DESERT SOUTHWEST ORAL AND FACIAL SURGERY
Authorized official	JUSTIN SIKES - (DOCTOR/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/25/2024
Last updated	09/17/2024 - More than a year ago
Identifiers	n/a

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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