Organization · Type 2 NPI
South Boulder Pediatric Dentistry
Pediatric Dentistry · Boulder, CO
NPI number
1972287217
Active
Practice location
805 S Broadway St Ste 103
Boulder, CO 80305-5972
Mailing address
2945 Moorhead Ave
Boulder, CO 80305-3342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Boulder
About NPI 1972287217
South Boulder Pediatric Dentistry's National Provider Identifier is 1972287217, issued on Jun 14, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boulder, CO. The record was last updated on Jun 14, 2023.