BOULDER ORAL SURGERY 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. BOULDER ORAL SURGERY NPI is 1467967307. The provider is registered as an organization entity type and is a multiple single specialty group. The provider Is Doing Business As Boulder Oral Surgery.
The provider's business location address is:
3450 PENROSE PL STE 120 BOULDER, CO ZIP 80301-800 Phone: (303) 447-9735 Fax: (303) 447-9735
The provider's authorized official is Terrence Robert Nedbalski . The authorized official title is Owner and has the following contact phone number (303) 447-9735.
The enumeration date for this NPI number is 12/13/2017 and was last updated on 3/17/2018.
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:
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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