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

Oral and Maxillofacial Surgery of Longmont LLC

Organization Dentist · NPI 1508030750

Oral and Maxillofacial Surgery of Longmont LLC provides Dentist services in Longmont, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1361 Francis St Ste 101
Longmont, CO 80501 Not confirmed with CMS for 18 years — call before visiting
Phone: (303) 772-8585
Fax: (303) 776-4895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8762 (CO)

Record details

NPI number1508030750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Squire — Owner · (303) 772-8585
NPI enumeratedApril 18, 2008
Last updated in NPPESApril 18, 2008
Mailing address1361 Francis Street, Suite 101, Longmont, CO 80501

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