Cherry Creek Oral & Maxillofacial Surgery, PC
NPI 1043373004ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Denver, CO
Dentist, Oral and Maxillofacial Surgery in Denver, Colorado, registered in NPPES in December 2006. The authorized official on file is Clyde E. Waggoner, DMD, President.
Overview
| NPI | 1043373004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 7506 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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