EXPERIENCE DENTAL PLLC
NPI 1013568963
Clinic/Center - Dental in Boulder, CO

Active since September 23, 2019
1933 28TH ST STE 204, BOULDER, CO 80301(720) 645-1226 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Sep 23, 2019 (2 updates tracked since 2019).

About Experience Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXPERIENCE DENTAL PLLC (NPI 1013568963) is a healthcare organization registered as a dental in Boulder, Colorado and active in the NPI registry since September 2019. The organization lists Jeremy Richard Altdorfer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013568963
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEXPERIENCE DENTAL PLLC
Location Address1933 28TH ST STE 204Boulder, CO 80301-1100
Mailing Address1933 28th St Ste 204Boulder, CO 80301-1100 · (720) 645-1226
Organization SubpartNo
Authorized OfficialJeremy Richard AltdorferCeo · (720) 645-1226
Enumeration DateSeptember 23, 2019
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1013568963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1933 28TH ST STE 204, Boulder, CO 80301

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1933 28TH ST STE 204
BOULDER, CO 80301
Durable Medical Equipment & Medical Supplies
1933 28TH ST STE 204
BOULDER, CO 80301
Dentist (General Practice)
1933 28TH ST STE 204
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Experience Dental PLLC's NPI number?

The NPI number for Experience Dental PLLC is 1013568963. It was assigned to this organization in the NPPES registry on September 23, 2019.

Where is Experience Dental PLLC located?

Experience Dental PLLC is located at 1933 28th St Ste 204, Boulder, CO 80301. The listed phone number is (720) 645-1226.

What is Experience Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Experience Dental PLLC accept?

Health plans from UnitedHealthcare list Experience Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Experience Dental PLLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.