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

Rocky Mountain Oral & Maxillofacial Surgery, Prof LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1366126583

Rocky Mountain Oral & Maxillofacial Surgery, Prof LLC is an Oral and Maxillofacial Surgery (Dentist) in Thornton, Colorado. Registered with an NPI since 2023.

In the registry since
2023
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

2750 E 136th Ave Ste 101
Thornton, CO 80241-3530
Phone: (720) 452-2144
Fax: (303) 379-9051
Show map & directions

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 number1366126583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Rollert — President Dentist · (720) 452-2144
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address2750 E 136th Ave Ste 101, Thornton, CO 80241-3530

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