GLENWOOD ORAL SURGERY, P.C. (NPI# 1043480452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043480452 |
| Entity Type | Organization |
| Organization Name | GLENWOOD ORAL SURGERY, P.C. |
| Practice Address |
406 South Hyland Park Dr Suite B Glenwood Springs CO 81601 |
| Practice Telephone | 9709459644 |
| Practice Fax Number | 9709450760 |
| Mailing Telephone | 9709459644 |
| Mailing Fax Number | 9709450760 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | DR. GEORGE WAYNE HALTOM III (OWNER) |
| Authorized Official Telephone | 9709459644 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
HD104468 | CO | Ambulatory Health Care Facilities |
| Street Address |
406 SOUTH HYLAND PARK DR SUITE B |
| City | GLENWOOD SPRINGS |
| State | CO |
| Zip Code | 81601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600339 | Robert Adams Orthopaedics, PC | Orthopaedic Surgery | 25 Market Street, Unit A, Glenwood Springs, CO 81601 | 2019-07-01 |
| 1558850339 | Danco Supportive Services Colorado Inc | Clinic/Center | 3302 South Grand Avenue, Glenwood Springs, CO 81601 | 2018-05-07 |
| 1457871451 | James David Whitehead | Registered Nurse | 1445 Hall Ave, Grand Junction, CO 81601 | 2017-06-21 |
| 1649700113 | Rachel Elizabeth Cassabon | Counselor | 6916 Hwy 82, Glenwood Springs, CO 81601 | 2017-06-15 |
| 1992252407 | Addictive Behaviors Counseling | Community/Behavioral Health | 0425 Mountain Shadows Drive, Glenwood Springs, CO 81601 | 2016-09-01 |
| 1134528243 | Kirsten Trygg | Counselor | 1432 Grand Avenue, Glenwood Springs, CO 81601 | 2014-08-14 |
| 1942635875 | Leanne Bornschlegel | Massage Therapist | 115 6th St., Glenwood Springs, CO 81601 | 2013-09-11 |
| 1538449871 | Patricia Ann Mckinney | Specialist | 1045 Parkwest Dr, Glenwood Springs, CO 81601 | 2011-08-18 |
| 1679863997 | Principled Chiropractic LLC | Chiropractor | 923 Cooper Ave. Ste 202, Glenwood Springs, CO 81601 | 2011-04-08 |
| 1598054322 | Glenwood Springs Harmony House Inc. | Assisted Living Facility | 1046 Parkwest Dr., Glenwood Springs, CO 81601 | 2011-04-01 |
| Find all providers in zip 81601 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091720 | Altitude Oral and Facial Cosmetic Surgery Lone Tree, Pllc | Clinic/Center | 10375 Park Meadows Dr Ste 150, Lone Tree, CO 80124-6755 | 2018-01-11 |
| 1154835528 | Jeffrey W. Stearns, D.m.d., M.d | Clinic/Center | 27 S 18th Ave, Brighton, CO 80601-2401 | 2017-11-21 |
| 1346484193 | Colorado Regional Oral Surgery | Clinic/Center | 8025 Club Crest Drive, Arvada, CO 80005 | 2009-04-23 |
| 1578706651 | Blue River Oral Surgery | Clinic/Center | 975 North Ten Mile Drive, Suite E 11, Frisco, CO 80443-4998 | 2009-04-20 |
| 1447420922 | Bluestein Surgical Arts, PC | Clinic/Center | 864 W South Boulder Rd, Louisville, CO 80027-2410 | 2008-03-11 |
| 1174702880 | Justin C. Bley D.m.d., P.C. | Clinic/Center | 1707 61st Ave, Suite 102, Greeley, CO 80634-7997 | 2007-10-30 |
| 1336361526 | Day Surgical Arts Frisco | Clinic/Center | 975 N. Ten Mile Drive, E11, Frisco, CO 80443 | 2007-05-03 |
| 1891200309 | Highlands Ranch Oral & Facial Surgery | Clinic/Center | 300 Plaza Dr Ste 175, Highlands Ranch, CO 80129-2335 | 2017-12-06 |
| 1205354388 | Colorado Surgical & Anesthesia Services, PC | Clinic/Center | 6915 Conifer Ct, Niwot, CO 80503-8665 | 2017-09-08 |
| 1891225348 | Colorado Springs Oral Surgery | Clinic/Center | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2017-06-18 |
| Find all providers with the same taxonomy | ||||
| City | GLENWOOD SPRINGS |
| Zip Code | 81601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.