COLORADO SURGICAL ARTS NPI 1467359687

NPI Information

  • NPI: 1467359687
  • Provider Name: COLORADO SURGICAL ARTS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • :
  • Address: 2625 28TH ST STE 200
    BOULDER, CO
    ZIP 80301
  • Phone: (983) 200-3180

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NPI Details

COLORADO SURGICAL ARTS is an oral and maxillofacial surgery dentist in Boulder, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. COLORADO SURGICAL ARTS NPI is 1467359687. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2625 28TH ST STE 200
BOULDER, CO
ZIP 80301-263
Phone: (983) 200-3180

The provider's authorized official is Jenn Heritage .
The authorized official title is Credentialing Manager and has the following contact phone number (402) 805-4516.

The enumeration date for this NPI number is 10/21/2026 and was last updated on 10/21/2026.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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