Organization
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURNACE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
1644 MEDICAL CENTER PT # 101, COLORADO SPRINGS, CO 80907-5764
(719) 497-9162
(719) 597-4060
Mailing address
1644 MEDICAL CENTER PT STE 101, COLORADO SPRINGS, CO 80907-5765
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
11/29/2023
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