LONGMONT ORAL, FACIAL & IMPLANT SURGERY
NPI 1366975765
Dentist - Oral and Maxillofacial Surgery in Longmont, CO

Q: What is Longmont Oral, Facial & Implant Surgery's specialty?

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

Active since April 04, 2017

1551 PROFESSIONAL LN UNIT 260, LONGMONT, CO 80501(303) 772-8870(303) 772-8871 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Longmont Oral, Facial & Implant Surgery NPPES

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

LONGMONT ORAL, FACIAL & IMPLANT SURGERY (NPI 1366975765) is a healthcare organization registered as an oral and maxillofacial surgery in Longmont, Colorado and active in the NPI registry since April 2017. The organization lists Jamie Leos, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1366975765

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameLONGMONT ORAL, FACIAL & IMPLANT SURGERY

Location Address1551 PROFESSIONAL LN UNIT 260Longmont, CO 80501-6903

Mailing Address1551 Professional Ln Unit 260Longmont, CO 80501-6903 · (303) 772-8870 · Fax (303) 772-8871

Phone(303) 772-8870

Fax(303) 772-8871

Organization SubpartNo

Authorized OfficialJamie LeosPractice Administrator · (303) 772-8870

Enumeration DateApril 4, 2017

✔ NPI 1366975765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in CO · DEN.00010071✔ Licensed in CO · DEN.00201841

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.

1551 PROFESSIONAL LN UNIT 260, Longmont, CO 80501

Open in Google Maps ↗

Other Identifiers 2

Other1386808533CO · Npi

Other1689797243CO · Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Longmont Oral, Facial & Implant Surgery's NPI number?

The NPI number for Longmont Oral, Facial & Implant Surgery is 1366975765. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is Longmont Oral, Facial & Implant Surgery located?

Longmont Oral, Facial & Implant Surgery is located at 1551 Professional Ln Unit 260, Longmont, CO 80501. The listed phone number is (303) 772-8870.

What is Longmont Oral, Facial & Implant Surgery's specialty?

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

What insurance does Longmont Oral, Facial & Implant Surgery accept?

Health plans from UnitedHealthcare list Longmont Oral, Facial & Implant Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Longmont Oral, Facial & Implant Surgery was last updated on April 4, 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.