Highlands Ranch Oral Surgery Center | |
200 W County Line Rd Suite 230 Highlands Ranch CO 80129-2360 | |
(303) 791-0422 | |
(303) 791-0564 |
Full Name | Highlands Ranch Oral Surgery Center |
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Speciality | Dentist |
Location | 200 W County Line Rd, Highlands Ranch, Colorado |
Authorized Official Name and Position | Stephen James Colm (OWNER) |
Authorized Official Contact | 3037910422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Highlands Ranch Oral Surgery Center 200 W County Line Rd Suite 230 Highlands Ranch CO 80129-2360 Ph: (303) 791-0422 | Highlands Ranch Oral Surgery Center 200 W County Line Rd Suite 230 Highlands Ranch CO 80129-2360 Ph: (303) 791-0422 |
NPI Number | 1881948651 |
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Provider Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881948651 | NPI | - | NPPES |
45852316 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7009 (Colorado) | Primary |
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