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General NPI Number Information
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NPI Number | 1932011863
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Entity Type | Organization
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Legal Business Name | SUMMIT OROFACIAL PARTNERS LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1660 S ALBION ST STE 1008
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City | DENVER
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State | CO
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Zip | 80222-4047
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Country | US
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Telephone | 303-268-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 1081 E ROGGEN WAY
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City | SUPERIOR
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State | CO
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Zip | 80027-8038
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Country | US
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Telephone | 303-889-9256
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. ROBERT MCDONALD
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Credential | DMD
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Telephone | 303-889-9256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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