Oral And Maxillofacial Specialist Pc. - Medicare Dental Clinic in Colorado Springs, CO

Oral And Maxillofacial Specialist Pc. is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Colorado Springs, Colorado. The current practice location for Oral And Maxillofacial Specialist Pc. is 7730 N Union Blvd, Suite 103, Colorado Springs, Colorado. For appointments, you can reach them via phone at (719) 590-1500. The mailing address for Oral And Maxillofacial Specialist Pc. is 7730 N Union Blvd, Suite 103, Colorado Springs, Colorado and phone number is (719) 590-1500.

Oral And Maxillofacial Specialist Pc. is licensed to practice in Colorado (license number 6376). The clinic also participates in the medicare program and its NPI number is 1013922475. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 590-1500.

Contact Information

Oral And Maxillofacial Specialist Pc.
7730 N Union Blvd
Suite 103
Colorado Springs
CO 80920-4084
(719) 590-1500
(719) 590-9379

Dental Care Clinic Profile

Full NameOral And Maxillofacial Specialist Pc.
SpecialityDentist
Location7730 N Union Blvd, Colorado Springs, Colorado
Authorized Official Name and PositionRonald D Thoman (PRESIDENT)
Authorized Official Contact7195901500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oral And Maxillofacial Specialist Pc.
7730 N Union Blvd
Suite 103
Colorado Springs
CO 80920-4084

Ph: (719) 590-1500
Oral And Maxillofacial Specialist Pc.
7730 N Union Blvd
Suite 103
Colorado Springs
CO 80920-4084

Ph: (719) 590-1500

NPI Details:

NPI Number1013922475
Provider Enumeration Date07/31/2006
Last Update Date06/20/2008

Medicare PECOS Information:

Medicare PECOS PAC ID8527141936
Medicare Enrollment IDO20080208000083

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Medical Identifiers

Medical identifiers for Oral And Maxillofacial Specialist Pc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013922475NPI-NPPES
04019899MedicaidCO
811466OtherMEDICARE ID-TYPE UNSPECIFIED

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 6376 (Colorado)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oral And Maxillofacial Specialist Pc. acts as a billing entity for following providers:
Provider NameRyan Hambleton
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1316267503
PECOS PAC ID: 3870809932
Enrollment ID: I20150903001856

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UDL enters license agreement with Humeca for burn, wound care products

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News Archive

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