| South Boulder Pediatric Dentistry | |
|
805 S Broadway St Ste 103 Boulder CO 80305-5972 | |
| (720) 441-2974 | |
| Not Available |
| Full Name | South Boulder Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 805 S Broadway St Ste 103, Boulder, Colorado |
| Authorized Official Name and Position | Samantha Graffeo Gardner (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7204412974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Boulder Pediatric Dentistry 2945 Moorhead Ave Boulder CO 80305-3342 Ph: (720) 441-2974 | South Boulder Pediatric Dentistry 805 S Broadway St Ste 103 Boulder CO 80305-5972 Ph: (720) 441-2974 |
| NPI Number | 1972287217 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972287217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (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 | |
Experience Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1933 28th St Ste 204, Boulder, CO 80301 Phone: 740-706-0765 | |
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 |