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

Experience Dental Hygiene Practice 1 LLC

Organization Dental Clinic/Center · NPI 1992484844

Experience Dental Hygiene Practice 1 LLC is a Dental Clinic/Center in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3125 28th St
Boulder, CO 80301-1315
Phone: (720) 996-0559
Fax: (720) 740-6760
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1992484844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Altdorfer — Ceo Extrordinaire · (720) 645-1226
Other names Experience Dental Hygiene
NPI enumeratedJuly 17, 2023
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address3125 28th St, Boulder, CO 80301-1315

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