SQUIRE ORAL, FACIAL & DENTAL IMPLANT SURGERY
NPI 1396020657
Dentist - Oral and Maxillofacial Surgery in Longmont, CO

Q: What is Squire Oral, Facial & Dental 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 October 19, 2011

1361 FRANCIS ST. STE. 101, LONGMONT, CO 80501(303) 772-8585 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Squire Oral, Facial & Dental Implant Surgery NPPES

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

SQUIRE ORAL, FACIAL & DENTAL IMPLANT SURGERY (NPI 1396020657) is a healthcare organization registered as an oral and maxillofacial surgery in Longmont, Colorado and active in the NPI registry since October 2011. The organization lists Sherry K Matz, Dental Facilitator, as its authorized official.

NPPES Registry Identity

NPI1396020657

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSQUIRE ORAL, FACIAL & DENTAL IMPLANT SURGERY

Location Address1361 FRANCIS ST. STE. 101Longmont, CO 80501

Mailing Address1325 Hover St. Ste. 101Longmont, CO 80501 · (303) 772-8585

Phone(303) 772-8585

Organization SubpartNo

Authorized OfficialSherry K MatzDental Facilitator · (303) 772-8585

Enumeration DateOctober 19, 2011

✔ NPI 1396020657 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 · 8762

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.

1361 FRANCIS ST. STE. 101, Longmont, CO 80501

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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

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 Squire Oral, Facial & Dental Implant Surgery's NPI number?

The NPI number for Squire Oral, Facial & Dental Implant Surgery is 1396020657. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Squire Oral, Facial & Dental Implant Surgery located?

Squire Oral, Facial & Dental Implant Surgery is located at 1361 Francis St. Ste. 101, Longmont, CO 80501. The listed phone number is (303) 772-8585.

What is Squire Oral, Facial & Dental Implant 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 Squire Oral, Facial & Dental Implant Surgery was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.