Alpha Dental Care IX PC

Organization Active NPI Dentist · Boulder, CO

NPI 1831114347 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1831114347
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
5916 (CO)
Legal business name
ALPHA DENTAL CARE IX PC
Practice address
1900 Folsom St
Suite 202
Boulder, CO 80302
Phone
(303) 447-2281
Fax
(303) 447-2285
NPI assigned
Jul 13, 2006
Organization subpart
No

Authorized official

Name
Raymond Clinton Roper, DDS
Title
President
Phone
(303) 447-2281

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 5916 CO Yes

Addresses

Primary practice location

1900 Folsom St
Suite 202
Boulder, CO 80302

Mailing address

1900 Folsom St
Suite 202
Boulder, CO 80302
Phone (303) 447-2281

Other providers in Boulder, CO

All providers in Boulder, CO · Dentist in Colorado

Sources for this page

Verify at the official NPI Registry.