Organization · Type 2 NPI

Boulder Oral Surgery

Oral and Maxillofacial Surgery (Dentist) · Boulder, CO

NPI number 1467967307 Active

Practice location

3450 Penrose Pl Ste 120
Boulder, CO 80301-1800

Call (303) 447-9735 Map

Fax (303) 447-9735

Mailing address

3450 Penrose Pl, Suite 120
Boulder, CO 80301-1800

Other practice locations

1325 Hover St Ste 101, Longmont, CO 80501-3137 · (303) 772-8585

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	9410 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

Another provider at this address

James-Brandon Mathias Luter, DDSOral & Maxillofacial Surgery (D.M.D.) Boulder, CO NPI 1548689029

Other oral and maxillofacial surgery (dentist) providers in Boulder

See all in Boulder →

NPI record

NPI: 1467967307
Entity type: Organization (Type 2)
Issued: Dec 13, 2017
Last updated: Mar 17, 2018
Status: Active
Subpart: Yes of Terrence Nedbalski DDS PLLC

Other names

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Boulder Oral Surgery · doing business as

Authorized official

Dr. Terrence Robert Nedbalski, DDS
Owner
(303) 447-9735

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About NPI 1467967307

Boulder Oral Surgery's National Provider Identifier is 1467967307, issued on Dec 13, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boulder, CO. The record was last updated on Mar 17, 2018.