Colorado Surgical Clinic, Pc
Oral and Maxillofacial Dental Clinic
640 Southpointe Ct, 150, Colorado Springs
Colorado, 80906-3856
719-540-6350 719-527-9487
Maps & DirectionsColorado Surgical Clinic, Pc is a Oral and Maxillofacial Dental Clinic in Colorado Springs, Colorado. It is located at 640 Southpointe Ct, 150, Colorado Springs, CO and its contact number is 719-540-6350. The authorized person for Colorado Surgical Clinic, Pc is Dr. Bradley W Renehan
who is President of the clinic and their contact number is 719-540-6350. The primary license number for Colorado Surgical Clinic, Pc is 8508 (Oral and Maxillofacial Surgery) in Colorado.
Colorado Surgical Clinic, Pc Clinic deals with 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.
Complete Clinic Profile:
Colorado Surgical Clinic, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Colorado Surgical Clinic, Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 640 Southpointe Ct, 150, Colorado Springs,
Colorado, 80906-3856 |
| Phone: | 719-540-6350 |
| Fax: | 719-527-9487 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Bradley W Renehan |
| Position: | President |
| Contact Number: | 719-540-6350 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Colorado Surgical Clinic, Pc clinic are as mentioned below.
| NPI Number: | 1598936163 |
| NPI Enumeration Date: | 21 Mar, 2008 |
| NPI Last Update On: | 21 Mar, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colorado Surgical Clinic, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 8508 | Colorado | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 49086804 | Medicaid | Colorado | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Colorado Surgical Clinic, Pc
640 Southpointe Ct, 150
Colorado Springs, Colorado |
| Zip: | 80906-3856 |
| Phone Number: | 719-540-6350 |
| Fax Number: | 719-527-9487 |
Patients can reach Colorado Surgical Clinic, Pc at
640 Southpointe Ct, 150, Colorado Springs, Colorado or can
call to book an appointment on 719-540-6350.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.