Dr. Siona Motufau Jr. DDS Co

Key facts

NPI: 1023737186
Entity type: Organization (NPI type 2)
Primary specialty: Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name: DR. SIONA MOTUFAU JR. DDS CO
Practice address: 3222 Highway 6 and 24
Cliftion, CO 81520
Phone: (970) 985-7200
NPI assigned: Aug 23, 2022
Organization subpart: No

Authorized official

Name: Dr. Siona Motufau Jr., DDS NPI 1114331824
Title: Dentist
Phone: (970) 712-1463

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Dr. Siona Motufau Jr. DDS Co Oral and Maxillofacial Surgery (Dentist) · Grand Junction, CO · NPI 1144078684

Same enrollment O20250814005015
Dr. Siona Motufau Jr. DDS Co Oral and Maxillofacial Surgery (Dentist) · Montrose, CO · NPI 1962892810

Same enrollment O20250814005015

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Dr. Siona Motufau Jr. DDS Co Oral and Maxillofacial Surgery (Dentist) · Grand Junction, CO · NPI 1144078684

NPD tax ID
Allegany Imaging, PC Diagnostic Radiology Physician · Cumberland, MD · NPI 1093809212

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Siona Motufau Jr., DDS General Practice Dentistry · Clifton, CO · NPI 1114331824

NPD Authorized official GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CO

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250814005015	CO	Part B Supplier - Clinic/Group Practice	4284977398	Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clifton, CO; Grand Junction, CO; Montrose, CO

National Provider Directory

Tax ID family: Dr Siona Motufau Jr DDS Co (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223G0001X
Oral and Maxillofacial Surgery (Dentist) Group: 193200000X MULTI-SPECIALTY GROUP	1223S0112X			Yes

Addresses

Primary practice location

3222 Highway 6 and 24
Cliftion, CO 81520

Mailing address

3222 Hwy 6 and 24
Clifton, CO 81520
Phone (970) 985-7200

Other identifiers

Identifier	Type	State	Issuer
202301	Medicaid	CO

Other names

Ohana Dental Implant Centers Doing business as

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.