IndividualActive
Alan Green, DDS
NPI 1174645345 · General Practice Dentistry · Boulder, CO
Provider details
- NPI number
- 1174645345
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7138 (CO)
Specialties & taxonomies
Dental Providers
Practice location
625 S Broadway St
Boulder, CO 80305-5926
Phone: (303) 543-8555
Fax: (303) 543-1236
Approximate (ZIP-level) locationGet directions
Mailing address
625 S Broadway St
Boulder, CO 80305-5926
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.