Whalio Doctors

NPI 1508146630

Castle Rock Oral and Maxillofacial Surgery, PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Castle Rock, CO

Practice location

Address
2352 Meadows Blvd 205, Castle Rock, CO 80109-8406
Phone
(303) 663-7890
Fax
(888) 765-9130

Authorised official

Name
Kristopher Larkin Hart
Title
President
Phone
(254) 449-6581

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 10214 (CO)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 10214 (CO)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 21512 (TX)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 21512 (TX)

Registry record

NPI
1508146630
Entity type
Organization
NPI issued
20 Aug 2011
Record last updated
8 Apr 2024

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.