| Cherry Creek Oral & Maxillofacial Surgery, Pc | |
|
3955 E Exposition Ave Suite 520 Denver CO 80209-5000 | |
| (303) 777-1603 | |
| Not Available |
| Full Name | Cherry Creek Oral & Maxillofacial Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3955 E Exposition Ave, Denver, Colorado |
| Authorized Official Name and Position | Clyde E Waggoner (PRESIDENT) |
| Authorized Official Contact | 3037771603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Creek Oral & Maxillofacial Surgery, Pc 3955 E Exposition Ave Suite 520 Denver CO 80209-5000 Ph: (303) 777-1603 | Cherry Creek Oral & Maxillofacial Surgery, Pc 3955 E Exposition Ave Suite 520 Denver CO 80209-5000 Ph: (303) 777-1603 |
| NPI Number | 1043373004 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043373004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7506 (Colorado) | Primary |
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