# REGENTS OF THE UNIVERSITY OF COLORADO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** School of Dental Medicine, Faculty Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700257573
- **Authorized official:** MR. BRIAN DAVIS MBA,MSHA,CMA (ASSOCIATE DEAN OF FINANCE ADMINISTR)
- **Authorized official phone:** (303) 724-7132

## Contact information

- **Practice address:** 13065 E 17TH AVE, MAIL STOP F742, AURORA, CO 80045-2532
- **Practice address phone:** (303) 724-5509
- **Mailing address:** 13065 E 17TH AVE, AURORA, CO 80045-2532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DR.0055063 | CO | Yes |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 10/19/2015