# ROCKY MOUNTAIN ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** R. P. Hanawalt, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194819359
- **Authorized official:** DR. RONALD P. HANAWALT DDA (PRESIDENT)
- **Authorized official phone:** (970) 493-4434

## Contact information

- **Practice address:** 1029 ROBERTSON ST, FORT COLLINS, CO 80524-3926
- **Practice address phone:** (970) 493-4434
- **Mailing address:** 1029 ROBERTSON ST, FORT COLLINS, CO 80524-3926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 203 | CO | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020