Individual provider · Type 1 NPI

Andrew Lionel Fiscus, DDS

General Practice Dentistry · Boulder, CO

NPI number 1902805138 Active · reactivated Apr 11, 2006

Practice location

3400 Penrose Pl, Suite 202
Boulder, CO 80301-1809

Call (303) 442-5748 Map

Fax (303) 442-5749

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8195 (CO)

General Practice Dentistry: 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.

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About NPI 1902805138

Andrew Lionel Fiscus, DDS's National Provider Identifier is 1902805138, issued on Jul 19, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boulder, CO. The record was last updated on Jul 13, 2026.