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

Experience Dental PLLC

Organization Dental Clinic/Center · NPI 1013568963

Experience Dental PLLC is a Dental Clinic/Center in Boulder, Colorado. Registered with an NPI since 2019.

In the registry since
2019
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

1933 28th St Ste 204
Boulder, CO 80301-1100
Phone: (720) 645-1226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1013568963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Altdorfer — Ceo · (720) 645-1226
NPI enumeratedSeptember 23, 2019
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1933 28th St Ste 204, Boulder, CO 80301-1100

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