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ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
NPI 1932989498
Dentist - Oral and Maxillofacial Surgery in Canon City, CO

Active since October 03, 2023
111 N 10TH ST, CANON CITY, CO 81212(719) 599-0500(719) 599-0575 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Oct 3, 2023 (2 updates tracked since 2023).

About Associates In Maxillofacial And Oral Surgery, Pllc NPPES

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

ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC (NPI 1932989498) is a healthcare organization registered as an oral and maxillofacial surgery in Canon City, Colorado and active in the NPI registry since October 2023. The organization lists Nick Sundiam, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1932989498
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
Location Address111 N 10TH STCanon City, CO 81212-3457
Mailing Address1755 Telstar Dr Ste 210Colorado Springs, CO 80920-1018 · (719) 599-0500 · Fax (719) 599-0575
Phone(719) 599-0500
Fax(719) 599-0575
Organization SubpartYes
Authorized OfficialNick SundiamCredentialing Manager · (719) 300-5933
Enumeration DateOctober 3, 2023
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1932989498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.

Other Names 1

Other NameAmos - Canon City

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

TAWNY RENEE VERVERS
Dental Assistant
111 N 10TH ST
CANON CITY, CO 81212
Fremont County (719) 599-0500
OMS ASSOCIATES COLORADO PC
Dentist (Oral and Maxillofacial Surgery)
111 N 10TH ST
CANON CITY, CO 81212
Fremont County (719) 599-0500

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 Associates In Maxillofacial And Oral Surgery, PLLC's NPI number?

The NPI number for Associates In Maxillofacial And Oral Surgery, PLLC is 1932989498. It was assigned to this organization in the NPPES registry on October 3, 2023. The provider is also known as AMOS - Canon City.

Where is Associates In Maxillofacial And Oral Surgery, PLLC located?

Associates In Maxillofacial And Oral Surgery, PLLC is located at 111 N 10th St, Canon City, CO 81212. The listed phone number is (719) 599-0500.

What is Associates In Maxillofacial And Oral Surgery, PLLC'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 Associates In Maxillofacial And Oral Surgery, PLLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.