IndividualActive
Andrew Johann, D.D.S., M.S.
NPI 1780800581 · Prosthodontics · Boulder, CO
Provider details
- NPI number
- 1780800581
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 7998 (CO)
Specialties & taxonomies
Dental Providers
Practice location
3400 Penrose Pl
Suite 102
Boulder, CO 80301-1809
Phone: (303) 449-9850
Fax: (303) 447-1127
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Penrose Pl
Boulder, CO 80301-1809
Registry dates
- Enumerated
- 2007-04-18
- 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.