# CANYON POINT IMPLANT & ORAL SURGERY

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

## Provider details

- **NPI number:** 1144775230
- **Authorized official:** DR. PAUL C MADLOCK M.D., D.M.D. (SURGEON/OWNER)
- **Authorized official phone:** (303) 215-9944

## Contact information

- **Practice address:** 108 N RUBEY DR, GOLDEN, CO 80403-2455
- **Practice address phone:** (303) 215-9944
- **Practice address fax:** (303) 215-9947
- **Mailing address:** 108 N RUBEY DR, GOLDEN, CO 80403-2455
- **Mailing address phone:** (303) 215-9944
- **Mailing address fax:** (303) 215-9947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN.00009486 | CO | Yes |

## Other

- **Enumeration date:** 08/18/2016
- **Last updated:** 08/18/2016