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

Boulder Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1467967307

Boulder Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Boulder, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2017

Practice location Address checks out

3450 Penrose Pl Ste 120
Boulder, CO 80301-1800
Phone: (303) 447-9735
Fax: (303) 447-9735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Hover St Ste 101, Longmont, CO 80501-3137 — (303) 772-8585

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 9410 (CO)

Record details

NPI number1467967307
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTerrence Nedbalski DDS PLLC
Authorized official Terrence Nedbalski — Owner · (303) 447-9735
Other names Boulder Oral Surgery
NPI enumeratedDecember 13, 2017
Last updated in NPPESMarch 17, 2018
Mailing address3450 Penrose Pl, Suite 120, Boulder, CO 80301-1800

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