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

Boulder Dental Center Table Mesa PC

Organization Dentist · NPI 1215894050

Boulder Dental Center Table Mesa PC is a Dentist in Boulder, Colorado. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4790 Table Mesa Dr
Boulder, CO 80305-5600
Phone: (303) 442-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1215894050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danny Abboud — President · (303) 442-5000
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address4790 Table Mesa Dr, Boulder, CO 80305-5600

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