# CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Castle Rock Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508146630
- **Authorized official:** DR. KRISTOPHER LARKIN HART DDS (PRESIDENT)
- **Authorized official phone:** (254) 449-6581

## Contact information

- **Practice address:** 2352 MEADOWS BLVD, 205, CASTLE ROCK, CO 80109-8406
- **Practice address phone:** (303) 663-7890
- **Practice address fax:** (888) 765-9130
- **Mailing address:** 2352 MEADOWS BLVD, 205, CASTLE ROCK, CO 80109-8406
- **Mailing address phone:** (303) 663-7890
- **Mailing address fax:** (888) 765-9130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10214 | CO | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21512 | TX | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 10214 | CO | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 21512 | TX | — |

## Other

- **Enumeration date:** 08/20/2011
- **Last updated:** 04/08/2024