Organization · Type 2 NPI
Experience Dental PLLC
Dental Clinic/Center · Boulder, CO
NPI number
1013568963
Active
Practice location
1933 28th St Ste 204
Boulder, CO 80301-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1013568963
Experience Dental PLLC's National Provider Identifier is 1013568963, issued on Sep 23, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boulder, CO. The record was last updated on Jun 15, 2026.