| Affiliates In Oral & Maxillofacial Surgery,p.c. | |
|
3100 N Academy Blvd Suite 213 Colorado Springs CO 80917-5321 | |
| (719) 597-4060 | |
| (719) 574-2140 |
| Full Name | Affiliates In Oral & Maxillofacial Surgery,p.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3100 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | James Edward Berwick (PRESIDENT) |
| Authorized Official Contact | 7195974060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliates In Oral & Maxillofacial Surgery,p.c. 3100 N Academy Blvd Suite 213 Colorado Springs CO 80917-5321 Ph: (719) 597-4060 | Affiliates In Oral & Maxillofacial Surgery,p.c. 3100 N Academy Blvd Suite 213 Colorado Springs CO 80917-5321 Ph: (719) 597-4060 |
| NPI Number | 1447384532 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447384532 | NPI | - | NPPES |
| 76159361 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7202 (Colorado) | Primary |
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