Whalio Doctors

NPI 1225588221

Trauma and Emergency Subspecialty Surgeons PLLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Highlands Ranch, CO

Practice location

Address
1745 Shea Center Dr Suite 400, Highlands Ranch, CO 80129-1537
Phone
(303) 774-1974

Authorised official

Name
Brian J Willoughby
Title
Sole Owner
Phone
(303) 320-5700

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 40115 (CO)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X

Registry record

NPI
1225588221
Entity type
Organization
NPI issued
13 Oct 2016
Record last updated
13 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.