Desert Southwest Oral And Facial Surgery
LBN: Desert Southwest Oral And Facial Surgery
Desert Southwest Oral And Facial Surgery is an health care organization with primary practice located at 33 N Elm St Ste B , Cortez CO 81321-3105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Desert Southwest Oral And Facial Surgery can be contacted via phone (970) 516-4100, or through Sikes, Justin Bidwell via phone (970) 516-4100.
Contact Information
Primary practice address
33 N Elm St Ste B
Cortez CO 81321-3105
Phone: (970) 516-4100
Fax: (970) 632-6178
Website:
Authorized official contact:
Name: Sikes, Justin Bidwell Doctor of Dental Medicine (DMD)
Phone: (970) 516-4100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1376299131 |
|---|---|
| LBN Legal business name | Desert Southwest Oral And Facial Surgery |
| DBA Doing business as | |
| Authorized official | Sikes, Justin Bidwell Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Oct 6th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376299131 | NPPES |
| Colorado | MEDICAID | 01385828 | |
| Colorado | MEDICAID | 251853 | |
| Colorado | MEDICAID | 22603085 |
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