OrganizationActive
Excellence in Oral & Maxillofacial Surgery
NPI 1114337136 · Oral and Maxillofacial Surgery (Dentist) · Colorado Springs, CO
Provider details
- NPI number
- 1114337136
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Vikki Biernacki, Practice Manager(719) 592-9222
- License
- 6709 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1755 Telstar Dr
Suite 210
Colorado Springs, CO 80920-1016
Phone: (719) 592-9222
Fax: (719) 592-9682
Street-level locationGet directions
Mailing address
1755 Telstar Dr
Colorado Springs, CO 80920-1016
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2014-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.