IndividualActive
Adam Altdorfer, DDS
NPI 1235667494 · General Practice Dentistry · Boulder, CO
Provider details
- NPI number
- 1235667494
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 00203463 (CO)
Specialties & taxonomies
Dental Providers
Practice location
1933 28th St Ste 204
Boulder, CO 80301-1100
Phone: (720) 645-1226
Approximate (ZIP-level) locationGet directions
Mailing address
1482 Michigan Ave
Columbus, OH 43201-2635
Registry dates
- Enumerated
- 2017-05-31
- Last updated
- 2021-03-05
- Certified
- 2021-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.