OrganizationActive
Boulder Canyon Dental PLLC
NPI 1588109862 · Dentist · Boulder, CO
Boulder Canyon Dental PLLC is a Dentist organization in Boulder, CO (NPI 1588109862).
Provider details
- NPI number
- 1588109862
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Smith, Dentist/Owner(303) 442-4437
- License
- 00202990 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3093 Broadway St
Boulder, CO 80304-3151
Phone: (303) 442-4437
Street-level locationGet directions
Mailing address
3093 Broadway St
Boulder, CO 80304-3151
Registry dates
- Enumerated
- 2016-12-22
- Last updated
- 2016-12-22
Frequently asked questions
- What is Boulder Canyon Dental PLLC's NPI number?
- Boulder Canyon Dental PLLC's National Provider Identifier (NPI) is 1588109862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Canyon Dental PLLC?
- Boulder Canyon Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Boulder Canyon Dental PLLC located?
- Boulder Canyon Dental PLLC's practice location on file with NPPES is 3093 Broadway St, Boulder, CO 80304-3151.
- What is Boulder Canyon Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Canyon Dental PLLC is (303) 442-4437.
- Who is the authorized official for Boulder Canyon Dental PLLC?
- The authorized official listed on Boulder Canyon Dental PLLC's NPPES record is Jonathan Smith, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Canyon Dental PLLC's NPI active?
- Yes — Boulder Canyon Dental PLLC's NPI (1588109862) is active in the NPPES registry as of the last update on 2016-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.