Organization
ADVANCED ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R LESSIG DDS (OWNER)
(303) 768-8570
Entity
Organization
Contact information
Practice address
10120 E DRY CREEK RD STE 100, ENGLEWOOD, CO 80112-2772
(303) 768-8570
(303) 768-8572
Mailing address
9094 E MINERAL CIR, SUITE 260, CENTENNIAL, CO 80112-7200
(303) 768-8570
(303) 768-8572
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71980857
—
CO
Enumeration date
06/01/2007
Last updated
12/17/2020
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