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CHERRY CREEK ORAL & MAXILLOFACIAL SURGERY, PC
NPI 1043373004
Dentist - Oral and Maxillofacial Surgery in Denver, CO

Active since December 19, 2006
3955 E EXPOSITION AVE, SUITE 520, DENVER, CO 80209(303) 777-1603 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cherry Creek Oral & Maxillofacial Surgery, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERRY CREEK ORAL & MAXILLOFACIAL SURGERY, PC (NPI 1043373004) is a healthcare organization registered as an oral and maxillofacial surgery in Denver, Colorado and active in the NPI registry since December 2006. The organization lists Clyde E Waggoner, President, as its authorized official.

NPPES Registry Identity

NPI1043373004
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCHERRY CREEK ORAL & MAXILLOFACIAL SURGERY, PC
Location Address3955 E EXPOSITION AVE, SUITE 520Denver, CO 80209-5000
Mailing Address3955 E Exposition Ave, Suite 520Denver, CO 80209-5000 · (303) 777-1603
Phone(303) 777-1603
Organization SubpartNo
Authorized OfficialClyde E WaggonerPresident · (303) 777-1603
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043373004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CO · 7506
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3955 E EXPOSITION AVE, Denver, CO 80209
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK T FRANK D.D.S.
Dentist
3955 E EXPOSITION AVE, SUITE 412
DENVER, CO 80209
Denver County (303) 722-2686
MR. STEPHEN E GOETZ RMT, NCMT
Massage Therapist
3955 E EXPOSITION AVE, SUITE 320
DENVER, CO 80209
Denver County (303) 777-1151
KERI LABALLE ROWEN
Acupuncturist
3955 E EXPOSITION AVE
DENVER, CO 80209
Denver County (720) 209-1196
DR. SUSAN BACKUS MSW, PH.D.
Social Worker (Clinical)
3955 E EXPOSITION AVE, 417
DENVER, CO 80209
Denver County (303) 595-1005
MS. PAMELA H. MILLER M.A.,C.C.C.-S.L.P.
Speech-Language Pathologist
3955 E EXPOSITION AVE, SUITE #206
DENVER, CO 80209
Denver County (303) 778-0227
COLORADO FISCAL MANAGEMENT SERVICES INC.
In Home Supportive Care
3955 E EXPOSITION AVE, #500
DENVER, CO 80209
Denver County (303) 539-5979
MELINDA LACZYNSKI LPC
Counselor (Professional)
3955 E EXPOSITION AVE, SUITE 416
DENVER, CO 80209
Denver County (720) 280-9170
EVERETT JOHN WOLFE R.M.T.
Specialist
3955 E EXPOSITION AVE, SUITE 320
DENVER, CO 80209
Denver County (303) 777-1151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cherry Creek Oral & Maxillofacial Surgery, PC's NPI number?

The NPI number for Cherry Creek Oral & Maxillofacial Surgery, PC is 1043373004. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Cherry Creek Oral & Maxillofacial Surgery, PC located?

Cherry Creek Oral & Maxillofacial Surgery, PC is located at 3955 E Exposition Ave Suite 520, Denver, CO 80209. The listed phone number is (303) 777-1603.

What is Cherry Creek Oral & Maxillofacial Surgery, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Cherry Creek Oral & Maxillofacial Surgery, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.