Aesthetic & Maxillofacial Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

AESTHETIC & MAXILLOFACIAL ASSOCIATES

Practice address

1610 Canyon Blvd
Boulder, CO 80302-5407

Phone

(303) 938-0130

Fax

(303) 245-0405

NPI assigned

Nov 5, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Charles Madlock, MD, DMD

Title

Doctor

Phone

(720) 878-8999

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1083868988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407",
            "telephone_number": "303-938-0130",
            "fax_number": "303-245-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407",
            "telephone_number": "303-938-0130",
            "fax_number": "303-245-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC & MAXILLOFACIAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MADLOCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "720-878-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Adler, DDS
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• James Agati Jr., LPCC
• Nora Ahmed-Kamal
• Sarah Ahn, LSW
• Christopher Ahumada, PA
• Carolyn Aibel, PH.D.

• Oral and Maxillofacial Surgery (Dentist) in Boulder, CO
• Providers in Boulder, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.