# COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC

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

## Provider details

- **NPI number:** 1528553070
- **Authorized official:** TREVOR JOHNSON DMD (MANAGING PARTNER)
- **Authorized official phone:** (720) 432-8738

## Contact information

- **Practice address:** 556 W. HWY 105, MONUMENT, CO 80132
- **Practice address phone:** (720) 432-8738
- **Mailing address:** 14095 W 62ND AVE, ARVADA, CO 80004-3613
- **Mailing address phone:** (303) 919-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN.00203418 | CO | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN.00203577 | CO | — |

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 06/27/2018