| Colorado Oral Surgery | |
|
17167 East Cedar Gulch Parkway Suite 100 Parker CO 80134 | |
| (303) 699-0351 | |
| Not Available |
| Full Name | Colorado Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17167 East Cedar Gulch Parkway, Parker, Colorado |
| Authorized Official Name and Position | Rebecca Lurcott (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3037441369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Oral Surgery 400 S Colorado Blvd Suite 450 Denver CO 80246 Ph: (303) 744-1369 | Colorado Oral Surgery 17167 East Cedar Gulch Parkway Suite 100 Parker CO 80134 Ph: (303) 699-0351 |
| NPI Number | 1609447291 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609447291 | NPI | - | NPPES |
| 35281278 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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