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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EXPERIENCE DENTAL HYGIENE PRACTICE 1 LLC
NPI 1992484844
Clinic/Center - Dental in Boulder, CO

Active since July 17, 2023
3125 28TH ST, BOULDER, CO 80301(720) 996-0559(720) 740-6760 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Experience Dental Hygiene Practice 1 Llc NPPES

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

EXPERIENCE DENTAL HYGIENE PRACTICE 1 LLC (NPI 1992484844), doing business as Experience Dental Hygiene, is a healthcare organization registered as a dental in Boulder, Colorado and active in the NPI registry since July 2023. The organization lists Jeremy Altdorfer, Ceo Extrordinaire, as its authorized official.

NPPES Registry Identity

NPI1992484844
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEXPERIENCE DENTAL HYGIENE PRACTICE 1 LLC
Location Address3125 28TH STBoulder, CO 80301-1315
Mailing Address3125 28th StBoulder, CO 80301-1315
Phone(720) 996-0559
Fax(720) 740-6760
Organization SubpartNo
Authorized OfficialJeremy AltdorferCeo Extrordinaire · (720) 645-1226
Enumeration DateJuly 17, 2023
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1992484844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3125 28TH ST, Boulder, CO 80301
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Other Names 1

Doing Business AsExperience Dental Hygiene

Other Providers at the Same Location NPPES

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

LASHAWNDA JENKINS RDH
Dental Hygienist
3125 28TH ST
BOULDER, CO 80301
Boulder County (803) 567-9950

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 Hygiene Practice 1 LLC's NPI number?

The NPI number for Experience Dental Hygiene Practice 1 LLC is 1992484844. It was assigned to this organization in the NPPES registry on July 17, 2023. The provider is doing business as Experience Dental Hygiene.

Where is Experience Dental Hygiene Practice 1 LLC located?

Experience Dental Hygiene Practice 1 LLC is located at 3125 28th St, Boulder, CO 80301. The listed phone number is (720) 996-0559.

What is Experience Dental Hygiene Practice 1 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Experience Dental Hygiene Practice 1 LLC 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 59 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.