Provider Demographics
NPI:1811428931
Name:GREG PYLE ALPINE ORAL SURGERY INC A
Entity type:Organization
Organization Name:GREG PYLE ALPINE ORAL SURGERY INC A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:W
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:970-871-0900
Mailing Address - Street 1:940 CENTRAL PARK DR STE 106
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8853
Mailing Address - Country:US
Mailing Address - Phone:970-871-0900
Mailing Address - Fax:970-871-0662
Practice Address - Street 1:940 CENTRAL PARK DR STE 106
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8853
Practice Address - Country:US
Practice Address - Phone:970-871-0900
Practice Address - Fax:970-871-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106411223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty