AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C. (NPI# 1447384532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447384532 |
| Entity Type | Organization |
| Organization Name | AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C. |
| Practice Address |
3100 N Academy Blvd Suite 213 Colorado Springs CO 80917-5321 |
| Practice Telephone | 7195974060 |
| Practice Fax Number | 7195742140 |
| Mailing Telephone | 7195974060 |
| Mailing Fax Number | 7195742140 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES EDWARD BERWICK (PRESIDENT) |
| Authorized Official Telephone | 7195974060 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7202 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 76159361 | 05 |
| Street Address |
3100 N ACADEMY BLVD SUITE 213 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1629519723 | Wasatch Payroll LLC | Clinic/Center | 3100 N Academy Blvd, 107, Colorado Springs, CO 80917-5321 | 2017-03-09 |
| 1265979488 | Peak Balance Family Wellness | Clinic/Center | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2017-01-25 |
| 1659755338 | Colorado Springs Oral and Facial Surgery | Dentist | 3100 N Academy Blvd, #213, Colorado Springs, CO 80917-5321 | 2015-07-13 |
| 1710398573 | Stacie Lynn Kipp | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2014-05-14 |
| 1316378797 | Jerrico Grimard | Nurse Practitioner | 3100 N Academy Blvd, Suite 211, Colorado Springs, CO 80917-5321 | 2013-12-10 |
| 1629317979 | John E. Augspurger | Dentist | 3100 N Academy Blvd, Suite 203, Colorado Springs, CO 80917-5321 | 2013-02-06 |
| 1053655613 | Maria Smith | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2012-11-20 |
| 1528261682 | Dale L Alto | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-06-07 |
| 1841339819 | Ronald J Charity Dmd PC | Dentist | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1467964858 | David Andrew Benson, Dds, Pllc | Dentist | 6160 Tutt Blvd Ste 250, Colorado Springs, CO 80923-1500 | 2017-10-25 |
| 1568850725 | Steven F. Reck, Dds, PC | Dentist | 7310 Rangewood Dr, Suite 200, Colorado Springs, CO 80918-7701 | 2014-12-22 |
| 1942565197 | Pavol Porazik | Dentist | 7136 N Academy Blvd, Colorado Springs, CO 80920 | 2012-07-12 |
| 1982800264 | Dr. Robert C. Christiansen Dds PC | Dentist | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2007-06-25 |
| 1376663641 | Oral Surgery Associates of Colorado Springs, P.C. | Dentist | 5745 Erindale Dr Ste 100, Colorado Springs, CO 80918-8902 | 2007-03-30 |
| 1952447724 | Robert Malcolm Igo | Dentist | 1304 N Academy Boulevard, Suite 205, Colorado Springs, CO 80909-3318 | 2007-01-29 |
| 1952367096 | James David Vetter | Dentist | 1755 Telstar Dr, Suite 210, Colorado Springs, CO 80920-1016 | 2006-04-26 |
| 1366413361 | Harry Richard Cole Jr. | Dentist | 1755 Telstar Dr Ste 250, Colorado Springs, CO 80920-1016 | 2006-01-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY,P.C..
| 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.