Organization
ROCKY MOUNTAIN ORAL & MAXILLOFACIAL SURGERY, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROLLERT DDS (DENTIST/OWNER)
(303) 503-5039
Entity
Organization
Contact information
Practice address
10375 PARK MEADOWS DR STE 150, LONE TREE, CO 80124-6755
(720) 452-2144
(303) 379-9051
Mailing address
2750 E 136TH AVE STE 101, THORNTON, CO 80241-3530
(720) 452-2144
(303) 379-9051
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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