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

South Boulder Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1972287217

South Boulder Pediatric Dentistry is a Pediatric Dentistry in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

805 S Broadway St Ste 103
Boulder, CO 80305-5972
Phone: (720) 441-2974
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1972287217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Graffeo Gardner — Owner/Pediatric Dentist · (720) 441-2974
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address2945 Moorhead Ave, Boulder, CO 80305-3342

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