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BOULDER RESTORATIVE DENTISTRY NPI 1730764549


NPI Information

NPI: 1730764549
Provider Name: BOULDER RESTORATIVE DENTISTRY
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
350 BROADWAY ST STE 201
BOULDER, CO
ZIP 80305
Phone: (303) 494-7110
Get Directions

BOULDER RESTORATIVE DENTISTRY is a prosthodontics dentist in Boulder, CO. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BOULDER RESTORATIVE DENTISTRY NPI is 1730764549. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

350 BROADWAY ST STE 201
BOULDER, CO
ZIP 80305-338
Phone: (303) 494-7110
Fax: (303) 554-1168

The provider's authorized official is Anna Pitz .
The authorized official title is Prosthodontist and has the following contact phone number (303) 494-7110.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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