| Adh Boulder PLLC | |
|
2700 Canyon Blvd Ste 210 Boulder CO 80302-6712 | |
| (303) 443-1146 | |
| Not Available |
| Full Name | Adh Boulder PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 Canyon Blvd Ste 210, Boulder, Colorado |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adh Boulder PLLC 15660 Dallas Pkwy Ste 950 Dallas TX 75248-3309 | Adh Boulder PLLC 2700 Canyon Blvd Ste 210 Boulder CO 80302-6712 Ph: (303) 443-1146 |
| NPI Number | 1871440222 |
|---|---|
| Provider Enumeration Date | 03/13/2026 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871440222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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