# 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:** Colorado Springs Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922680388
- **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:** 13540 MEADOWGRASS DR STE 215, COLORADO SPRINGS, CO 80921-3012
- **Practice address phone:** (719) 286-9725
- **Mailing address:** 13540 MEADOWGRASS DR STE 215, COLORADO SPRINGS, CO 80921-3012
- **Mailing address phone:** (719) 286-9725

## 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