# AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C.

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

## Provider details

- **NPI number:** 1447384532
- **Authorized official:** DR. JAMES EDWARD BERWICK DDS (PRESIDENT)
- **Authorized official phone:** (719) 597-4060

## Contact information

- **Practice address:** 3100 N ACADEMY BLVD, SUITE 213, COLORADO SPRINGS, CO 80917-5321
- **Practice address phone:** (719) 597-4060
- **Practice address fax:** (719) 574-2140
- **Mailing address:** 3100 N ACADEMY BLVD, SUITE 213, COLORADO SPRINGS, CO 80917-5321
- **Mailing address phone:** (719) 597-4060
- **Mailing address fax:** (719) 574-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7202 | CO | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020