Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Affiliates in Oral & Maxillofacial Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1447384532

Affiliates in Oral & Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 N Academy Blvd Ste 213
Colorado Springs, CO 80917-5321
Phone: (719) 597-4060
Fax: (719) 574-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7202 (CO)

Record details

NPI number1447384532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Berwick — President · (719) 597-4060
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321

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