Organization
DANIEL R. GEORGE
Active
Other names
Aspen Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. GEORGE DMD (SURGEON/OWNER)
(970) 925-8210
Entity
Organization
Contact information
Practice address
630 E HYMAN AVE, SUITE 22, ASPEN, CO 81611-1995
(970) 925-8210
(970) 925-1793
Mailing address
630 E HYMAN AVE, SUITE 22, ASPEN, CO 81611-1995
(970) 925-8210
(970) 925-1793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
198
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174547517
NPI INDIVIDUAL
CO
01
—
C804828
MEDICARE GROUP
CO
01
—
C804829
MEDICARE INDIVIDUAL
CO
01
—
U55283
UPIN
CO
Enumeration date
01/18/2008
Last updated
01/18/2008
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