Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Front Range Otolaryngology & Facial Plastic Surgery PC

Organization Specialist · NPI 1013114230

Front Range Otolaryngology & Facial Plastic Surgery PC is a Specialist in Longmont, 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

1325 Dry Creek Dr Ste 103
Longmont, CO 80503-7731
Phone: (720) 494-9111
Fax: (720) 494-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 207YS0123X (CO)

Record details

NPI number1013114230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Cavanaugh — Owner Md · (720) 494-9111
NPI enumeratedJune 29, 2007
Last updated in NPPESMay 24, 2016
Mailing address1325 Dry Creek Dr, Suite 103, Longmont, CO 80503-7731

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