# COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
- **Other names:** Oral Surgery Associates of Pueblo
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588246946
- **Legal business name:** COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
- **Authorized official:** MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
- **Authorized official phone:** (727) 424-2990

## Contact information

- **Practice address:** 3691 PARKER BLVD, PUEBLO, CO 81008-2278
- **Practice address phone:** (719) 212-0777
- **Mailing address:** 3691 PARKER BLVD, PUEBLO, CO 81008-2278

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2021
- **Last updated:** 04/26/2021