DR. LONNIE M SIBLEY JR. DDS
NPI 1033287115
Dentist - Oral and Maxillofacial Surgery in Boulder, CO

Active since November 30, 2006
4155 DARLEY AVE, BOULDER, CO 80305(303) 499-7072(303) 200-7375 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lonnie M Sibley Jr. Dds NPPES

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

DR. LONNIE M SIBLEY JR. DDS (NPI 1033287115) is an individual oral and maxillofacial surgery provider in Boulder, Colorado, licensed in Colorado (104233) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1033287115
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LONNIE M SIBLEY JR.Credential: DDS
Location Address4155 DARLEY AVEBoulder, CO 80305-6536
Mailing Address1285 Centaur Village Dr, Suite 200Lafayette, CO 80026-1214 · (720) 287-2614 · Fax (303) 200-7375
Fax(303) 200-7375
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJune 15, 2016
NPI 1033287115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in CO · 104233 Licensed in LA · 2759
Definition

An oral and maxillofacial surgery dentist specialized in 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.

4155 DARLEY AVE, Boulder, CO 80305

Other Identifiers 1

Medicaid02042331CO

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
4155 DARLEY AVE, STE F
BOULDER, CO 80305
Dental Hygienist
4155 DARLEY AVE
BOULDER, CO 80305
Dentist (General Practice)
4155 DARLEY AVE, UNIT C
BOULDER, CO 80305
Dental Hygienist
4155 DARLEY AVE
BOULDER, CO 80305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033287115, enumerated as an "individual" on November 30, 2006.

The provider is located at 4155 DARLEY AVE BOULDER, CO 80305 and the phone number is (303) 499-7072.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.