# ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
- **Other names:** AMOS - Spruce
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740092964
- **Legal business name:** ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
- **Authorized official:** NICK SUNDIAM (CREDENTIALING MANAGER)
- **Authorized official phone:** (719) 300-5933

## Contact information

- **Practice address:** 25 N SPRUCE ST STE 210, COLORADO SPRINGS, CO 80905-1446
- **Practice address phone:** (719) 599-0500
- **Mailing address:** 1755 TELSTAR DR STE 210, COLORADO SPRINGS, CO 80920-1018
- **Mailing address phone:** (719) 599-0500

## 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:** 01/24/2025
- **Last updated:** 09/12/2025