Experience Dental 3 PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXPERIENCE DENTAL 3 PLLC

Practice address

123 N College Ave Ste 212
Fort Collins, CO 80524-2489

Phone

(970) 473-7706

NPI assigned

Nov 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam Altdorfer, DDSNPI 1235667494

Title

Owner Dentist

Phone

(970) 473-7706

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Altdorfer, DDS

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1235667494
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1134098718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N COLLEGE AVE STE 212",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242489",
            "telephone_number": "970-473-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N COLLEGE AVE STE 212",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242489",
            "telephone_number": "970-473-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE DENTAL 3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "ALTDORFER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "970-473-7706",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn PW Ewert, OTR/L
• Andrea Rochelle Ewing, LCSW, MSW
• Breke Ewton
• Valerie Elisabeth Exelby, NP
• Expedition Counseling, LLC
• Expressive Hearts Therapy, LLC
• Eye and Laser Center of Fort Collins
• Eye Center of Northern Colorado, P.C.
• Eye Center of Northern Colorado, P.C.
• Eye Center of Northern Colorado, P.C.

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.