DENTAL AID INC NPI 1972109957

NPI Information

NPI: 1972109957
Provider Name: DENTAL AID, INC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 4155 DARLEY AVE STE C
BOULDER, CO
ZIP 80305
Phone: (303) 499-7072

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NPI Details

DENTAL AID, INC 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. DENTAL AID, INC NPI is 1972109957. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4155 DARLEY AVE STE C
BOULDER, CO
ZIP 80305-536
Phone: (303) 499-7072
Fax: (303) 200-7375

The provider's authorized official is Jubie Tafoya-quezada .
The authorized official title is Senior Office Administrator and has the following contact phone number (303) 655-8228.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.

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	Primary
1	122300000X	Dentist		No
2	1223G0001X	Dentist	General Practice	Yes
3	1223P0221X	Dentist	Pediatric Dentistry	No
4	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No
5	124Q00000X	Dental Hygienist		No

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
1	04004172	MEDICAID	COLORADO

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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