Associates in Maxillofacial and Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC

Practice address

755 Maleta LN
Castle Rock, CO 80108-7610

Phone

(303) 217-8017

Fax

(719) 599-0575

NPI assigned

Oct 3, 2023

Organization subpart

Yes

Parent organization

ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLCAs reported in NPPES

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

Authorized official

Name

Nick Sundiam

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

Other names 1

• AMOS - Castle Rock Doing business as

Tax ID family

Associates in Maxillofacial and Oral Surgery PLLC4 organizations share this tax ID, including this one

Part of

Associates in Maxillofacial and Oral Surgery PLLC

Other organizations with this tax ID 3

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

• Associates in Maxillofacial and Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Parker, CO
  • NPI 1275313744
  NPD tax ID
• Associates in Maxillofacial and Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1740092964
  NPD tax ID
• Associates in Maxillofacial and Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Canon City, CO
  • NPI 1932989498
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Associates in Maxillofacial and Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1710763495
  NPPES parent name

Practitioners 1

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

• John S Lydiatt, D.D.S.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1922121383
  NPD (past)

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1104606664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 TELSTAR DR STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201018",
            "telephone_number": "719-599-0500",
            "fax_number": "719-599-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MALETA LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087610",
            "telephone_number": "303-217-8017",
            "fax_number": "719-599-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "SUNDIAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMOS - Castle Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Arsenault, HIS
• Lacee Artist
• Danielle Ash, LMT
• Aspire Hope for Kids
• Associates in Maxillofacial and Oral Surgery PLLC - Castle Rock
• Associates of Otolaryngology, P.C.
• Assured Assisted Living LLC
• Assured Assisted Livng LLC
• Assured Assisted Livng LLC
• At Home Therapy, LLC

• Oral and Maxillofacial Surgery (Dentist) in Castle Rock, CO
• Providers in Castle Rock, 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 Sep 12, 2025; 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.