# DENVER METRO OMS PC

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

## Provider details

- **NPI number:** 1912060450
- **Authorized official:** MICHELLE A CLINE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (303) 321-0333

## Contact information

- **Practice address:** 4500 E CHERRY CREEK SOUTH DR, DENVER, CO 80246-1518
- **Practice address phone:** (303) 321-0333
- **Practice address fax:** (303) 393-0617
- **Mailing address:** 4500 E CHERRY CREEK SOUTH DR, DENVER, CO 80246-1518
- **Mailing address phone:** (303) 321-0333
- **Mailing address fax:** (303) 393-0617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 06/10/2020