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

Kenneth Poulsen, DDS

Individual provider General Practice Dentistry · NPI 1700950391

Kenneth Poulsen, DDS is a General Practice Dentistry in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3400 Penrose Pl Ste 105
Boulder, CO 80301-1809
Phone: (303) 449-3131
Fax: (303) 449-9487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6156 (CO)

Record details

NPI number1700950391
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3400 Penrose Pl, Suite 105, Boulder, CO 80301-1809

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