| Cheyenne Mountain Oral Surgery Pc | |
|
640 Southpointe Ct Ste 150 Colorado Springs CO 80906-3884 | |
| (720) 603-4800 | |
| Not Available |
| Full Name | Cheyenne Mountain Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 640 Southpointe Ct Ste 150, Colorado Springs, Colorado |
| Authorized Official Name and Position | Dayne Jensen (OWNER) |
| Authorized Official Contact | 7206034800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Mountain Oral Surgery Pc 4643 S Ulster St Ste 300 Denver CO 80237-3028 Ph: () - | Cheyenne Mountain Oral Surgery Pc 640 Southpointe Ct Ste 150 Colorado Springs CO 80906-3884 Ph: (720) 603-4800 |
| NPI Number | 1689167280 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689167280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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