BOULDENT LLC NPI 1316469711

NPI Information

  • NPI: 1316469711
  • Provider Name: BOULDENT, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 4550 BROADWAY ST UNIT C-3E
    BOULDER, CO
    ZIP 80304
  • Phone: (720) 504-8745

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NPI Details

BOULDENT, LLC is a dental clinic center in Boulder, CO. BOULDENT, LLC NPI is 1316469711. The provider is registered as an organization entity type.

The provider's business location address is:

4550 BROADWAY ST UNIT C-3E
BOULDER, CO
ZIP 80304-801
Phone: (720) 504-8745

The provider's authorized official is David Jonathan Yeats .
The authorized official title is General Dentistry and has the following contact phone number (303) 444-2129.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 7/21/2022.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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