ADVANCED ORAL & MAXILLOFACIAL SURGERY (NPI# 1811199920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811199920 |
| Entity Type | Organization |
| Organization Name | ADVANCED ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
9094 E Mineral Ave. Suite 260 Centennial CO 80112-7201 |
| Mailing Address |
9094 E Mineral Cir Suite 260 Centennial CO 80112-7200 |
| Practice Telephone | 3037688570 |
| Practice Fax Number | 3037688572 |
| Mailing Telephone | 3037688570 |
| Mailing Fax Number | 3037688572 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES R LESSIG (OWNER) |
| Authorized Official Telephone | 3037688570 |
| 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 |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71980857 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315124 | Advanced Oral & Maxillofacial Surgery | Preferred Provider Organization | 270 Spring Valley Rd, Paramus, NJ 07652-5343 | 2013-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Advanced Oral & Maxillofacial Surgery Center, P.C. | 6160 Tutt Boulevard, Suite 250, Colorado Springs, CO 80923 |
| Street Address |
9094 E MINERAL AVE. SUITE 260 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| 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 |
|---|---|---|---|---|
| 1609174218 | Bryce Jay Darrell Williams | Dentist | 14000 East Arapahoe Road Suite #320, Centennial, CO 80112 | 2011-03-06 |
| 1609974831 | Charles F. Wennogle | Dentist | 17715 E Jamison Ave, Centennial, CO 80016-1814 | 2006-09-20 |
| 1871881664 | Carlton J Floyd Dds Ms PC | Dentist | 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 | 2011-07-14 |
| 1013170968 | Randall J Russell | Dentist | 20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186 | 2008-07-09 |
| 1336322346 | Aaron T. Liddell | Dentist | 14000 E. Arapahoe Road, Suite 320, Centennial, CO 80112-4047 | 2007-12-12 |
| 1982727657 | Edward Marc Weideman | Dentist | 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 | 2007-04-09 |
| 1184798290 | Carlton James Floyd | Dentist | 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 | 2006-11-20 |
| 1437223419 | Thomas Stanley Michalik | Dentist | 9094 E. Mineral Ave., Suite 260, Centennial, CO 80112 | 2006-11-20 |
| 1538268917 | James Robert Lessig | Dentist | 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 | 2006-09-21 |
| 1003925058 | Brandon Dean Schultz | Dentist | 15250 E Orchard Rd, Centennial, CO 80016 | 2006-08-30 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
Please comment or provide details below to improve the information on ADVANCED ORAL & MAXILLOFACIAL SURGERY.
| 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.