Organization
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Active
Organization
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Active
Parent organization
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Other names
AMOS - Canon City
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
111 N 10TH ST, CANON CITY, CO 81212-3457
(719) 599-0500
(719) 599-0575
Mailing address
1755 TELSTAR DR STE 210, COLORADO SPRINGS, CO 80920-1018
(719) 599-0500
(719) 599-0575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
09/12/2025
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