| Rocky Mountain Oral & Maxillofacial Surgery, Prof Llc | |
|
10375 Park Meadows Dr Ste 150 Lone Tree CO 80124-6755 | |
| (720) 452-2144 | |
| (303) 379-9051 |
| Full Name | Rocky Mountain Oral & Maxillofacial Surgery, Prof Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10375 Park Meadows Dr Ste 150, Lone Tree, Colorado |
| Authorized Official Name and Position | Michael Rollert (DENTIST/OWNER) |
| Authorized Official Contact | 3035035039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Oral & Maxillofacial Surgery, Prof Llc 2750 E 136th Ave Ste 101 Thornton CO 80241-3530 Ph: (720) 452-2144 | Rocky Mountain Oral & Maxillofacial Surgery, Prof Llc 10375 Park Meadows Dr Ste 150 Lone Tree CO 80124-6755 Ph: (720) 452-2144 |
| NPI Number | 1518744416 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518744416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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