GLENWOOD ORAL SURGERY, P.C. – NPI #1043480452
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

GLENWOOD ORAL SURGERY, P.C. is an AHC clinic located in GLENWOOD SPRINGS, CO. NPPES has assigned the NPI number 1043480452 to GLENWOOD ORAL SURGERY, P.C. on March 03, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENWOOD ORAL SURGERY, P.C. below.

NPI Profile for
GLENWOOD ORAL SURGERY, P.C.

NPI Number
1043480452
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLENWOOD ORAL SURGERY, P.C.
Primary location
406 SOUTH HYLAND PARK DR
SUITE B
GLENWOOD SPRINGS, CO 81601
Phone: (970) 945-9644 Fax: (970) 945-0760
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE HALTOM
OWNER
Phone: (970) 945-9644
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)
CO HD104468

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.