| Coal Creek Oral Surgery And Dental Implant Center, Pllc | |
|
1771 Cherokee Trl Lafayette CO 80026-7088 | |
| (720) 588-2505 | |
| Not Available |
| Full Name | Coal Creek Oral Surgery And Dental Implant Center, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1771 Cherokee Trl, Lafayette, Colorado |
| Authorized Official Name and Position | Curtis J Hayes (OWNER) |
| Authorized Official Contact | 7205882505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Creek Oral Surgery And Dental Implant Center, Pllc 1771 Cherokee Trl Lafayette CO 80026-7088 Ph: (720) 588-2505 | Coal Creek Oral Surgery And Dental Implant Center, Pllc 1771 Cherokee Trl Lafayette CO 80026-7088 Ph: (720) 588-2505 |
| NPI Number | 1154864106 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154864106 | NPI | - | NPPES |
| 84870052 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8636 (Colorado) | Primary |
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