Associates in Maxillofacial and Oral Surgery, Pllc
NPI #1104606664 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1104606664
- Entity Type
- Organization
- Organization Name
- Associates in Maxillofacial and Oral Surgery, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 3, 2023
- Last Updated
- Sep 12, 2025
Practice Location
- Address
- 755 MALETA LN
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80108-7610
- Phone
- (303) 217-8017
Authorized Official
- Name
- NICK SUNDIAM
- Title
- CREDENTIALING MANAGER
- Phone
- (719) 300-5933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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