Oms Associates Colorado PC
Dentist, Oral and Maxillofacial Surgery in Canon City, CO. Organization (NPI-2).
NPI number1467053496
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1467053496
- Entity type
- Organization (NPI-2)
- Legal business name
- Oms Associates Colorado PC
- Organization subpart
- Yes
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Other names
- Associates In Maxillofacial And Oral Surgery (Doing Business As)
Practice location
111 N 10th StCanon City, CO 81212-3457
Phone 719-599-0500 · Fax 719-599-0575
Mailing address
6160 Tutt Blvd Ste 250Colorado Springs, CO 80923-1500
Phone 719-599-0500 · Fax 719-599-0575
Authorized official
Susan Stegman
Credentialing Co- Ordinator
7195990500
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