COLORADO DHCA BOULDER PLLC NPI 1013052653

NPI Information

  • NPI: 1013052653
  • Provider Name: COLORADO DHCA, BOULDER, PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DENTAL HEALTH OF BOULDER, PLLC
  • Address: 2525 28TH ST UNIT 140
    BOULDER, CO
    ZIP 80301
  • Phone: (303) 443-0070

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NPI Details

COLORADO DHCA, BOULDER, PLLC is a general practice dentist in Boulder, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COLORADO DHCA, BOULDER, PLLC NPI is 1013052653. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Health Of Boulder, Pllc.

The provider's business location address is:

2525 28TH ST UNIT 140
BOULDER, CO
ZIP 80301-255
Phone: (303) 443-0070
Fax: (303) 443-0073

The provider's authorized official is Ande Wittenberg .
The authorized official title is Manager and has the following contact phone number (303) 443-0070.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/9/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice579COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1841525799OTHERCOLORADOSPECIALTY

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: 3/30/2025

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