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Four Corners Oral and Maxilliofacial Surgery

Dental Clinic/Center in Durango, CO · enumerated 2012 · authorized official Michael Johnson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104162452

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Registry record

Entity type Organization (Type 2)
Legal business name Four Corners Oral and Maxilliofacial Surgery
Practice address 72 Suttle St, S# E, Durango, CO, 81303
Phone (970) 385-5432
Fax (970) 385-5077
Enumeration date Dec 13, 2012
Last updated in NPPES Dec 13, 2012

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License C36335 (CO) Primary

Authorized official

Name Michael Johnson
Title President
Phone (970) 385-5432

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Four Corners Oral and Maxilliofacial Surgery located?
The practice location on file with NPPES is in Durango, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-12-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-13.