# SF LONGMONT PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral Surgery Durango, Durango OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962241471
- **Authorized official:** DOUGLAS REID DMD, MD (OWNER)
- **Authorized official phone:** (412) 334-3473

## Contact information

- **Practice address:** 575 RIVERGATE LN UNIT 98, DURANGO, CO 81301-7488
- **Practice address phone:** (970) 449-0824
- **Practice address fax:** (970) 568-5735
- **Mailing address:** 575 RIVERGATE LN UNIT 98, DURANGO, CO 81301-7488
- **Mailing address phone:** (970) 449-0824
- **Mailing address fax:** (970) 568-5735

## 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:** 05/23/2024
- **Last updated:** 05/23/2024