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

Cheyenne Mountain Oral Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1518561364

Cheyenne Mountain Oral Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
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

640 Southpointe Ct Ste 150
Colorado Springs, CO 80906-3884
Phone: (719) 540-6350
Fax: (719) 527-9487
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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

Record details

NPI number1518561364
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCheyenne Mountain Oral Surgery PC
Authorized official Sandra Renehan — Administrator · (719) 540-6350
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 20, 2020
Mailing address640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884

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