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

Colorado Surgical Clinic, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1598936163

Colorado Surgical Clinic, PC is an Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
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 150
Colorado Springs, CO 80906-3856
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 · Licence 8508 (CO)

Record details

NPI number1598936163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Renehan — President · (719) 540-6350
NPI enumeratedMarch 21, 2008
Last updated in NPPESMarch 21, 2008
Mailing address640 Southpointe Ct, 150, Colorado Springs, CO 80906-3856

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