OrganizationActive
South Boulder Pediatric Dentistry
NPI 1972287217 · Pediatric Dentistry · Boulder, CO
South Boulder Pediatric Dentistry is a Pediatric Dentistry organization in Boulder, CO (NPI 1972287217).
Provider details
- NPI number
- 1972287217
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Samantha Graffeo Gardner, Owner/Pediatric Dentist(720) 441-2974
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
805 S Broadway St Ste 103
Boulder, CO 80305-5972
Phone: (720) 441-2974
Street-level locationGet directions
Mailing address
2945 Moorhead Ave
Boulder, CO 80305-3342
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is South Boulder Pediatric Dentistry's NPI number?
- South Boulder Pediatric Dentistry's National Provider Identifier (NPI) is 1972287217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Boulder Pediatric Dentistry?
- South Boulder Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is South Boulder Pediatric Dentistry located?
- South Boulder Pediatric Dentistry's practice location on file with NPPES is 805 S Broadway St Ste 103, Boulder, CO 80305-5972.
- What is South Boulder Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for South Boulder Pediatric Dentistry is (720) 441-2974.
- Who is the authorized official for South Boulder Pediatric Dentistry?
- The authorized official listed on South Boulder Pediatric Dentistry's NPPES record is Samantha Graffeo Gardner, Owner/Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Boulder Pediatric Dentistry's NPI active?
- Yes — South Boulder Pediatric Dentistry's NPI (1972287217) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.