Colorado West Oral & Maxillofacial Surgery Pc

LBN: Colorado West Oral & Maxillofacial Surgery Pc
Colorado West Oral & Maxillofacial Surgery Pc is an health care organization with primary practice located at 2530 N 8Th St Ste 103 , Grand Junction CO 81501-8856. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Colorado West Oral & Maxillofacial Surgery Pc can be contacted via phone (970) 245-2222, or through Kelly, Stephen S. via phone (970) 245-2222.

Contact Information

Primary practice address
2530 N 8Th St Ste 103 Grand Junction CO 81501-8856
Phone: (970) 245-2222
Fax: (970) 243-4438
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Stephen S. Doctor of Dental Medicine (DMD)
Phone: (970) 245-2222

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 104240 Colorado

Profile Details

NPI number 1588824437
LBN Legal business name Colorado West Oral & Maxillofacial Surgery Pc
DBA Doing business as
Authorized official Kelly, Stephen S. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2008
Last updated Jan 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588824437 NPPES
Colorado MEDICAID 04014940

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