Colorado Maxillofacial And Oral Surgeons

Specialty details in registry · Colorado Springs, CO

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At a glance

4105 Briargate Pkwy Ste 240, Colorado Springs, CO 80920-7844

NPPES record updated Apr 20, 2026. Public records can lag behind changes at a practice.

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Practice location

4105 Briargate Pkwy Ste 240
Colorado Springs, CO 80920-7844
Professional details: NPI, taxonomy & registry record
NPI1063900231
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
204E00000X
Enumeration date
Apr 24, 2018
Record updated
Apr 20, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

204E00000X · Primary

License reported: 00008955 CO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4105 Briargate Pkwy Ste 240
Colorado Springs, CO 80920-7844
Phone
(719) 310-7670
Fax
(719) 666-1212
Mailing address
4105 BRIARGATE PKWY STE 240

COLORADO SPRINGS, CO 809207844
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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