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COLORADO SURGICAL CLINIC, PC
NPI 1598936163
Dentist - Oral and Maxillofacial Surgery in Colorado Springs, CO

Active since March 21, 2008
640 SOUTHPOINTE CT, 150, COLORADO SPRINGS, CO 80906(719) 540-6350(719) 527-9487 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Colorado Surgical Clinic, Pc NPPES

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

COLORADO SURGICAL CLINIC, PC (NPI 1598936163) is a healthcare organization registered as an oral and maxillofacial surgery in Colorado Springs, Colorado and active in the NPI registry since March 2008. The organization lists Bradley W Renehan, President, as its authorized official.

NPPES Registry Identity

NPI1598936163
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCOLORADO SURGICAL CLINIC, PC
Location Address640 SOUTHPOINTE CT, 150Colorado Springs, CO 80906-3856
Mailing Address640 Southpointe Ct, 150Colorado Springs, CO 80906-3856 · (719) 540-6350 · Fax (719) 527-9487
Phone(719) 540-6350
Fax(719) 527-9487
Organization SubpartNo
Authorized OfficialBradley W RenehanPresident · (719) 540-6350
Enumeration DateMarch 21, 2008
✔ NPI 1598936163 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 · 8508
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.
640 SOUTHPOINTE CT, Colorado Springs, CO 80906
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Other Identifiers 1

Medicaid49086804CO

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 2

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

DR. BRADLEY WILLIAM RENEHAN M.D.DDS
Dentist (Oral and Maxillofacial Surgery)
640 SOUTHPOINTE CT, #150
COLORADO SPRINGS, CO 80906
El Paso County (719) 540-6350
DR. ELIZABETH WINFIELD PIANTANIDA MD
Dermatology
640 SOUTHPOINTE CT, STE 110
COLORADO SPRINGS, CO 80906
El Paso County (719) 228-9488

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 Colorado Surgical Clinic, PC's NPI number?

The NPI number for Colorado Surgical Clinic, PC is 1598936163. It was assigned to this organization in the NPPES registry on March 21, 2008.

Where is Colorado Surgical Clinic, PC located?

Colorado Surgical Clinic, PC is located at 640 Southpointe Ct 150, Colorado Springs, CO 80906. The listed phone number is (719) 540-6350.

What is Colorado Surgical Clinic, 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 Colorado Surgical Clinic, PC was last updated on March 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.