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

Oral and Maxillofacial Surgery of Longmont LLC

Organization Dentist · NPI 1508030750

Oral and Maxillofacial Surgery of Longmont LLC is a Dentist in Longmont, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1361 Francis St Ste 101
Longmont, CO 80501
Phone: (303) 772-8585
Fax: (303) 776-4895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8762 (CO)

Record details

NPI number1508030750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Squire — Owner · (303) 772-8585
NPI enumeratedApril 18, 2008
Last updated in NPPESApril 18, 2008
Mailing address1361 Francis Street, Suite 101, Longmont, CO 80501

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