| Advanced Oral & Maxillofacial Surgery | |
|
10120 E Dry Creek Rd Ste 100 Englewood CO 80112-2772 | |
| (303) 768-8570 | |
| (303) 768-8572 |
| Full Name | Advanced Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 10120 E Dry Creek Rd Ste 100, Englewood, Colorado |
| Authorized Official Name and Position | James R Lessig (OWNER) |
| Authorized Official Contact | 3037688570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Oral & Maxillofacial Surgery 9094 E Mineral Cir Suite 260 Centennial CO 80112-7200 Ph: (303) 768-8570 | Advanced Oral & Maxillofacial Surgery 10120 E Dry Creek Rd Ste 100 Englewood CO 80112-2772 Ph: (303) 768-8570 |
| NPI Number | 1811199920 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 12/17/2020 |
| Medicare PECOS PAC ID | 3274625454 |
|---|---|
| Medicare Enrollment ID | O20070816000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811199920 | NPI | - | NPPES |
| 71980857 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Thomas S Michalik |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1437223419 PECOS PAC ID: 1456451780 Enrollment ID: I20070716000161 |
| Provider Name | James R Lessig |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538268917 PECOS PAC ID: 4880794130 Enrollment ID: I20070716000368 |
Advanced Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10120 E Dry Creek Rd Ste 100, Englewood, CO 80112 Phone: 303-768-8570 Fax: 303-768-8570 | |
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K Lee Kuhlke, Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 E Stanford Ave, Englewood, CO 80113 Phone: 303-981-5717 Fax: 303-762-8784 | |
Christopher Henes 2 Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9570 S Kingston Ct Ste 230, Englewood, CO 80112 Phone: 303-649-2273 | |
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