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BOULDER DENTAL CENTER TABLE MESA PC
NPI 1215894050
Dentist in Boulder, CO

Active since January 05, 2026
4790 TABLE MESA DR, BOULDER, CO 80305(303) 442-5000 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boulder Dental Center Table Mesa Pc NPPES

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

BOULDER DENTAL CENTER TABLE MESA PC (NPI 1215894050) is a healthcare organization registered as a dentist in Boulder, Colorado and active in the NPI registry since January 2026. The organization lists Danny Abboud, President, as its authorized official.

NPPES Registry Identity

NPI1215894050
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBOULDER DENTAL CENTER TABLE MESA PC
Location Address4790 TABLE MESA DRBoulder, CO 80305-5600
Mailing Address4790 Table Mesa DrBoulder, CO 80305-5600 · (303) 442-5000
Phone(303) 442-5000
Organization SubpartNo
Authorized OfficialDanny AbboudPresident · (303) 442-5000
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1215894050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4790 TABLE MESA DR, Boulder, CO 80305
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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

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.

MARK TAPANI ZUCK MPT
Physical Therapist
4790 TABLE MESA DR, SUITE 200
BOULDER, CO 80305
Boulder County (303) 447-8105
ROB R RAPIER DPT
Physical Therapist
4790 TABLE MESA DR, 200
BOULDER, CO 80305
Boulder County (303) 447-8105
MS. ELIZABETH EILEEN NEVERS L.P.C., L.C.M.F.T.
Counselor (Professional)
4790 TABLE MESA DR
BOULDER, CO 80305
Boulder County (720) 428-9240
SHAWNA MICHELLE LAMBRECHT PT
Physical Therapist
4790 TABLE MESA DR, SUITE 200
BOULDER, CO 80305
Boulder County (303) 447-2873

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 Dental Center Table Mesa PC's NPI number?

The NPI number for Boulder Dental Center Table Mesa PC is 1215894050. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Boulder Dental Center Table Mesa PC located?

Boulder Dental Center Table Mesa PC is located at 4790 Table Mesa Dr, Boulder, CO 80305. The listed phone number is (303) 442-5000.

What is Boulder Dental Center Table Mesa PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Boulder Dental Center Table Mesa PC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.