OrganizationActive
Experience Dental PLLC
NPI 1013568963 · Dental Clinic/Center · Boulder, CO
Experience Dental PLLC is a Dental Clinic/Center organization in Boulder, CO (NPI 1013568963).
Provider details
- NPI number
- 1013568963
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Altdorfer, Ceo(740) 706-0765
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1933 28th St Ste 204
Boulder, CO 80301-1100
Phone: (740) 706-0765
Street-level locationGet directions
Mailing address
1933 28th St Ste 204
Boulder, CO 80301-1100
Registry dates
- Enumerated
- 2019-09-23
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Frequently asked questions
- What is Experience Dental PLLC's NPI number?
- Experience Dental PLLC's National Provider Identifier (NPI) is 1013568963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Experience Dental PLLC?
- Experience Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Experience Dental PLLC located?
- Experience Dental PLLC's practice location on file with NPPES is 1933 28th St Ste 204, Boulder, CO 80301-1100.
- What is Experience Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Experience Dental PLLC is (740) 706-0765.
- Who is the authorized official for Experience Dental PLLC?
- The authorized official listed on Experience Dental PLLC's NPPES record is Jeremy Altdorfer, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Experience Dental PLLC's NPI active?
- Yes — Experience Dental PLLC's NPI (1013568963) is active in the NPPES registry as of the last update on 2021-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.