OrganizationActive
Boulder Dental Center Table Mesa PC
NPI 1215894050 · Dentist · Boulder, CO
Boulder Dental Center Table Mesa PC is a Dentist organization in Boulder, CO (NPI 1215894050).
Provider details
- NPI number
- 1215894050
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Danny Abboud, President(303) 442-5000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4790 Table Mesa Dr
Boulder, CO 80305-5600
Phone: (303) 442-5000
Street-level locationGet directions
Mailing address
4790 Table Mesa Dr
Boulder, CO 80305-5600
Registry dates
- Enumerated
- 2026-01-05
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Frequently asked questions
- What is Boulder Dental Center Table Mesa PC's NPI number?
- Boulder Dental Center Table Mesa PC's National Provider Identifier (NPI) is 1215894050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Dental Center Table Mesa PC?
- Boulder Dental Center Table Mesa PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Boulder Dental Center Table Mesa PC located?
- Boulder Dental Center Table Mesa PC's practice location on file with NPPES is 4790 Table Mesa Dr, Boulder, CO 80305-5600.
- What is Boulder Dental Center Table Mesa PC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Dental Center Table Mesa PC is (303) 442-5000.
- Who is the authorized official for Boulder Dental Center Table Mesa PC?
- The authorized official listed on Boulder Dental Center Table Mesa PC's NPPES record is Danny Abboud, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Dental Center Table Mesa PC's NPI active?
- Yes — Boulder Dental Center Table Mesa PC's NPI (1215894050) is active in the NPPES registry as of the last update on 2026-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.