Provider Demographics
NPI:1750864906
Name:AURORA HILLS ORAL SURGERY PC
Entity Type:Organization
Organization Name:AURORA HILLS ORAL SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-344-2705
Mailing Address - Street 1:13701 E MISSISSIPPI AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6142
Mailing Address - Country:US
Mailing Address - Phone:303-344-2705
Mailing Address - Fax:303-344-4125
Practice Address - Street 1:13701 E MISSISSIPPI AVE STE 300
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-6142
Practice Address - Country:US
Practice Address - Phone:303-344-2705
Practice Address - Fax:303-344-4125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty