Four Corners Oral And Maxilliofacial Surgery - Dental Clinic in Durango, CO

Four Corners Oral And Maxilliofacial Surgery is a dental clinic (Clinic/center - Dental) in Durango, Colorado. The current practice location for Four Corners Oral And Maxilliofacial Surgery is 72 Suttle St, S# E, Durango, Colorado. For appointments, you can reach them via phone at (970) 385-5432. The mailing address for Four Corners Oral And Maxilliofacial Surgery is 72 Suttle St, S# E, Durango, Colorado and phone number is (970) 385-5432.

Four Corners Oral And Maxilliofacial Surgery is licensed to practice in Colorado (license number C36335) and its NPI number is 1104162452. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (970) 385-5432.

Contact Information

Four Corners Oral And Maxilliofacial Surgery
72 Suttle St
S# E
Durango
CO 81303-6829
(970) 385-5432
(970) 385-5077

Dental Care Clinic Profile

Full NameFour Corners Oral And Maxilliofacial Surgery
SpecialityClinic/center - Dental
Location72 Suttle St, Durango, Colorado
Authorized Official Name and PositionMichael Walter Johnson (PRESIDENT)
Authorized Official Contact9703855432
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Four Corners Oral And Maxilliofacial Surgery
72 Suttle St
S# E
Durango
CO 81303-6829

Ph: (970) 385-5432
Four Corners Oral And Maxilliofacial Surgery
72 Suttle St
S# E
Durango
CO 81303-6829

Ph: (970) 385-5432

NPI Details:

NPI Number1104162452
Provider Enumeration Date12/13/2012
Last Update Date12/13/2012

Medical Identifiers

Medical identifiers for Four Corners Oral And Maxilliofacial Surgery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104162452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental C36335 (Colorado)Primary

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