Healthcare Provider Details

I. General information

NPI: 1750864906
Provider Name (Legal Business Name): AURORA HILLS ORAL SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13701 E MISSISSIPPI AVE STE 300
AURORA CO
80012-6142
US

IV. Provider business mailing address

13701 E MISSISSIPPI AVE STE 300
AURORA CO
80012-6142
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-2705
  • Fax: 303-344-4125
Mailing address:
  • Phone: 303-344-2705
  • Fax: 303-344-4125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: MRS. NATASHA PETERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-344-2705