EVERGREEN ORAL AND MAXILLOFACIAL SURGERY
NPI 1225564297
Dentist - Oral and Maxillofacial Surgery in Evergreen, CO

Q: What is Evergreen Oral And Maxillofacial Surgery's specialty?

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

Active since May 11, 2017

28000 MEADOW DR UNIT 110, EVERGREEN, CO 80439(720) 990-5500(720) 990-5501 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Oral And Maxillofacial Surgery NPPES

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

EVERGREEN ORAL AND MAXILLOFACIAL SURGERY (NPI 1225564297) is a healthcare organization registered as an oral and maxillofacial surgery in Evergreen, Colorado and active in the NPI registry since May 2017. The organization lists Jonathon Jundt, Owner / Surgeon, as its authorized official.

NPPES Registry Identity

NPI1225564297

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameEVERGREEN ORAL AND MAXILLOFACIAL SURGERY

Location Address28000 MEADOW DR UNIT 110Evergreen, CO 80439-8395

Mailing Address28000 Meadow Dr Unit 110Evergreen, CO 80439-8395 · (720) 990-5500 · Fax (720) 990-5501

Phone(720) 990-5500

Fax(720) 990-5501

Organization SubpartNo

Authorized OfficialJonathon JundtOwner / Surgeon · (720) 990-5500

Enumeration DateMay 11, 2017

✔ NPI 1225564297 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 · DEN.00202720

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.

28000 MEADOW DR UNIT 110, Evergreen, CO 80439

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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

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

DR. JONATHON SEDRICK JUNDT MD, DDS

Dentist (Oral and Maxillofacial Surgery)

28000 MEADOW DR UNIT 110
EVERGREEN, CO 80439

Jefferson County (720) 990-5500

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 Evergreen Oral And Maxillofacial Surgery's NPI number?

The NPI number for Evergreen Oral And Maxillofacial Surgery is 1225564297. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Evergreen Oral And Maxillofacial Surgery located?

Evergreen Oral And Maxillofacial Surgery is located at 28000 Meadow Dr Unit 110, Evergreen, CO 80439. The listed phone number is (720) 990-5500.

What is Evergreen Oral And Maxillofacial Surgery'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 Evergreen Oral And Maxillofacial Surgery was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.