Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulder Canyon Dental PLLC

Organization Dentist · NPI 1588109862

Boulder Canyon Dental PLLC is a Dentist in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3093 Broadway St
Boulder, CO 80304-3151
Phone: (303) 442-4437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 00202990 (CO)

Record details

NPI number1588109862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Smith — Dentist/Owner · (303) 442-4437
NPI enumeratedDecember 22, 2016
Last updated in NPPESDecember 22, 2016
Mailing address3093 Broadway St, Boulder, CO 80304-3151

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