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CHILDREN'S DENTISTRY, BOULDER
NPI 1578284550
Dentist - Pediatric Dentistry in Boulder, CO

Active since September 07, 2022
3400 PENROSE PL STE 107, BOULDER, CO 80301(303) 443-8250 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Dentistry, Boulder NPPES

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

CHILDREN'S DENTISTRY, BOULDER (NPI 1578284550) is a healthcare organization registered as a pediatric dentistry in Boulder, Colorado and active in the NPI registry since September 2022. The organization lists Sean Whalen, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1578284550
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTISTRY, BOULDER
Location Address3400 PENROSE PL STE 107Boulder, CO 80301-1809
Mailing Address3400 Penrose Pl Ste 107Boulder, CO 80301-1809 · (303) 443-8250
Phone(303) 443-8250
Organization SubpartNo
Authorized OfficialSean WhalenOwner/pediatric Dentist · (720) 226-6061
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1578284550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
3400 PENROSE PL STE 107, Boulder, CO 80301
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Other Identifiers 1

Medicaid8954CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

STACY MARIE JACKSON DDS
Dentist (Pediatric Dentistry)
3400 PENROSE PL STE 107
BOULDER, CO 80301
Boulder County (303) 443-8250
DR. ROBERT S PANKRATZ DDS
Dentist (Pediatric Dentistry)
3400 PENROSE PL STE 107
BOULDER, CO 80301
Boulder County (303) 443-8250

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 Children's Dentistry, Boulder's NPI number?

The NPI number for Children's Dentistry, Boulder is 1578284550. It was assigned to this organization in the NPPES registry on September 7, 2022.

Where is Children's Dentistry, Boulder located?

Children's Dentistry, Boulder is located at 3400 Penrose Pl Ste 107, Boulder, CO 80301. The listed phone number is (303) 443-8250.

What is Children's Dentistry, Boulder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Children's Dentistry, Boulder was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.