Healthcare Provider Details

I. General information

NPI: 1093630691
Provider Name (Legal Business Name): AURORA ORAL SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25521 E SMOKY HILL RD UNIT 100
AURORA CO
80016-1346
US

IV. Provider business mailing address

25521 E SMOKY HILL RD UNIT 100
AURORA CO
80016-1346
US

V. Phone/Fax

Practice location:
  • Phone: 303-768-8570
  • Fax:
Mailing address:
  • Phone: 303-768-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS STANLEY MICHALIK
Title or Position: OWNER
Credential: DMD, MD
Phone: 303-726-1172