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BOULDER MODERN DENTISTRY
NPI 1104130293
Dentist - General Practice in Boulder, CO

Active since July 30, 2010
2100 28TH ST STE 4F, BOULDER, CO 80301(303) 442-4455(303) 443-0972 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boulder Modern Dentistry NPPES

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

BOULDER MODERN DENTISTRY (NPI 1104130293) is a healthcare organization registered as a general practice in Boulder, Colorado and active in the NPI registry since July 2010. The organization lists William J Mcglashan, Contracts Admin, as its authorized official.

NPPES Registry Identity

NPI1104130293
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOULDER MODERN DENTISTRY, LLP
Location Address2100 28TH ST STE 4FBoulder, CO 80301-1106
Mailing Address2860 Michelle Fl 2Irvine, CA 92606-1008 · (714) 368-2077 · Fax (714) 368-2092
Phone(303) 442-4455
Fax(303) 443-0972
Organization SubpartNo
Authorized OfficialWilliam J McglashanContracts Admin · (303) 442-4455
Enumeration DateJuly 30, 2010
✔ NPI 1104130293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2100 28TH ST STE 4F, Boulder, CO 80301
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Other Names 1

Doing Business AsBoulder Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Boulder Modern Dentistry, LLP's NPI number?

The NPI number for Boulder Modern Dentistry, LLP is 1104130293. It was assigned to this organization in the NPPES registry on July 30, 2010. The provider is doing business as Boulder Modern Dentistry.

Where is Boulder Modern Dentistry, LLP located?

Boulder Modern Dentistry, LLP is located at 2100 28th St Ste 4F, Boulder, CO 80301. The listed phone number is (303) 442-4455.

What is Boulder Modern Dentistry, LLP's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Boulder Modern Dentistry, LLP was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.