Vail Oral and Maxillofacial Radiology, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

104546 Issued in CO

Legal business name

VAIL ORAL AND MAXILLOFACIAL RADIOLOGY, LLC

Practice address

105 Edwards Village Blvd # C-205
Edwards, CO 81632-9914

Phone

(970) 569-3055

Fax

(970) 569-3057

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Garel, D.D.S.

Title

Member

Phone

(970) 569-3055

Specialties & licenses 1

Addresses

Practitioners 1

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

• Howard James Garel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Edwards, CO
  • NPI 1356372999
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1497915854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4507",
            "address_2": "0105 EDWARDS VILLAGE BLVD #C-205",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816324507",
            "telephone_number": "970-569-3055",
            "fax_number": "970-569-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EDWARDS VILLAGE BLVD # C-205",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816329914",
            "telephone_number": "970-569-3055",
            "fax_number": "970-569-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL ORAL AND MAXILLOFACIAL RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "GAREL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "970-569-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "104546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vail Clinic, Inc.
• Vail Clinic, Inc.
• Vail Clinic, Inc.
• Vail Infectious Disease, P.C.
• Vail Med Inc
• Vail Plastic & Cosmetic Surgery Center
• Vail Plastic & Cosmetic Surgery Center
• Vail Summit Orthopaedics
• Vail Valley Ear Nose and Throat Group
• Vail Valley Oral and Maxillofacial Surgery, Professional L.L.C.

• Dental Clinic/Center in Edwards, CO
• Providers in Edwards, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.