| Experience Dental Pllc | |
|
1933 28th St Ste 204 Boulder CO 80301-1100 | |
| (740) 706-0765 | |
| Not Available |
| Full Name | Experience Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1933 28th St Ste 204, Boulder, Colorado |
| Authorized Official Name and Position | Jeremy Richard Altdorfer (CEO) |
| Authorized Official Contact | 7407060765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Dental Pllc 1933 28th St Ste 204 Boulder CO 80301-1100 Ph: (740) 706-0765 | Experience Dental Pllc 1933 28th St Ste 204 Boulder CO 80301-1100 Ph: (740) 706-0765 |
| NPI Number | 1013568963 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013568963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Health Of Boulder, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 28th St Unit 140, Boulder, CO 80301 Phone: 303-443-0070 Fax: 303-443-0073 | |
S. Matt Schacht, D.d.s., Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 28th St Ste 200, Boulder, CO 80301 Phone: 303-341-7151 | |
Lopez Dental Health Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Penrose Pl, Boulder, CO 80301 Phone: 303-442-5748 | |
Radiance Smile Solutions, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Broadway St Ste 140, Boulder, CO 80305 Phone: 303-447-2281 | |
Edward E Barrett Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Penrose Pl, Suite 104, Boulder, CO 80301 Phone: 303-443-1895 Fax: 303-442-2765 | |
Aesthetic & Maxillofacial Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Canyon Blvd, Boulder, CO 80302 Phone: 303-938-0130 Fax: 303-245-0405 |