Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulder Canyon Dental PLLC

Organization Dentist · NPI 1588109862

Boulder Canyon Dental PLLC provides Dentist services in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3093 Broadway St
Boulder, CO 80304-3151
Phone: (303) 442-4437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 00202990 (CO)

Record details

NPI number1588109862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Smith — Dentist/Owner · (303) 442-4437
NPI enumeratedDecember 22, 2016
Last updated in NPPESDecember 22, 2016
Mailing address3093 Broadway St, Boulder, CO 80304-3151

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