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

Cherry Creek Oral & Maxillofacial Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1043373004

Cherry Creek Oral & Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
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

3955 E Exposition Ave Ste 520
Denver, CO 80209-5000
Phone: (303) 777-1603
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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 7506 (CO)

Record details

NPI number1043373004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clyde Waggoner — President · (303) 777-1603
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3955 E Exposition Ave, Suite 520, Denver, CO 80209-5000

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