# IMPLANT AND ORAL SURGERY OF COLORADO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134447972
- **Authorized official:** KATHY DRESHER (VP OF BILLING)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 3000 UNITED FOUNDERS BLVD, STE 237, OKLAHOMA CITY, OK 73112-3958
- **Practice address phone:** (405) 848-7974
- **Practice address fax:** (405) 848-0033
- **Mailing address:** 755 S PERRY ST, STE 300, CASTLE ROCK, CO 80104-1901
- **Mailing address phone:** (303) 660-5651
- **Mailing address fax:** (303) 660-1582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8089 | CO | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010