ASPEN ORAL AND FACIAL SURGERY, PLLC (NPI# 1295271450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295271450 |
| Entity Type | Organization |
| Organization Name | ASPEN ORAL AND FACIAL SURGERY, PLLC |
| Practice Address |
671 Mitchell Way Suite 100 Erie CO 80516 |
| Mailing Address |
671 Mitchell Way Suite 100 Erie CO 80516 |
| Practice Telephone | 7209900381 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DR. EUGENE C KANG (PRESIDENT) |
| Authorized Official Telephone | 7209900381 |
| Authorized Official Credential | MD, DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
202361 | CO | Ambulatory Health Care Facilities |
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
55871 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Aspen Oral and Facial Surgery, PLLC | 671 Mitchell Way, Suite 100, Erie, CO 80516 |
| Street Address |
671 MITCHELL WAY SUITE 100 |
| City | ERIE |
| State | CO |
| Zip Code | 80516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528101318 | Roseanna L Falls | Social Worker | 671 Mitchell Way, Erie, CO 80516 | 2007-02-14 |
| 1093356081 | Abel Corona | Physical Therapist | 671 Mitchell Way, Erie, CO 80516-5444 | 2019-10-01 |
| 1588010383 | Live Your Life Integrated Health and Chiropractic | Chiropractor | 671 Mitchell Way, Erie, CO 80516-5444 | 2016-05-11 |
| 1093946378 | Eugene C Kang | Oral & Maxillofacial Surgery | 671 Mitchell Way, Suite 100, Erie, CO 80516-5445 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| 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 |
| 1043480452 | Glenwood Oral Surgery, P.C. | Clinic/Center | 406 South Hyland Park Dr, Suite B, Glenwood Springs, CO 81601 | 2008-03-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.