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

Doing business as

AMOS - Spruce

Practice address

25 N Spruce St Ste 210
Colorado Springs, CO 80905-1446

Phone

(719) 599-0500

NPI assigned

Jan 24, 2025

Last updated

Sep 12, 2025By the provider in NPPES

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 - Spruce 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

  dba AMOS - Castle Rock

  • Oral and Maxillofacial Surgery (Dentist)
  • Castle Rock, CO
  • NPI 1104606664
  NPD tax ID
• Associates in Maxillofacial and Oral Surgery, PLLC

  dba AMOS - Parker

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

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

Locations

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

  dba Amos

  • 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, and the practitioner matching its NPPES authorized official.

• 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": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1740092964",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N SPRUCE ST STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051446",
            "telephone_number": "719-599-0500"
        }
    ],
    "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": "2025-01-24",
        "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": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMOS - Spruce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, CO
• Providers in Colorado Springs, 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.