Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Colorado Facial Plastic Surgery Center Inc

Organization Specialist · NPI 1114068376

Colorado Facial Plastic Surgery Center Inc provides Specialist services in Englewood, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 S Logan St Ste 100
Englewood, CO 80113-3766 Not confirmed with CMS for 10 years — call before visiting
Phone: (303) 839-7980
Fax: (303) 839-7936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 38335 (CO)

Record details

NPI number1114068376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Imola — Owner · (303) 839-7980
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMarch 1, 2016
Mailing address3600 S Logan St, Suite 100, Englewood, CO 80113-3766

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