OrganizationActive
Altitude Oral and Facial Cosmetic Surgery Lone Tree, PLLC
NPI 1770091720 · Oral and Maxillofacial Surgery Clinic/Center · Lone Tree, CO
Provider details
- NPI number
- 1770091720
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fangman Oral and Facial Surgery Professional LLC
- Authorized official
- Brain Fangman, President Ceo
- License
- 0202239 (CO)
Practice location
10375 Park Meadows Dr Ste 150
Lone Tree, CO 80124-6755
Phone: (303) 792-2828
Mailing address
3596 Birch Ave
Parker, CO 80134-9615
Registry dates
- Enumerated
- 2018-01-11
- Last updated
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.