DR. JEREMY RICHARD ALTDORFER


Address: 1933 28th St Ste 204, Boulder, CO 80301-1100
Phone: 7204323885

DR. JEREMY RICHARD ALTDORFER (NPI# 1780235713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780235713
Entity Type Individual
Full Name DR. JEREMY RICHARD ALTDORFER
Credential DDS
Practice Address 1933 28th St Ste 204
Boulder
CO 80301-1100
Mailing Address 4827 Thunderbird Dr Apt 44
Boulder
CO 80303-3853
Practice Telephone 7204323885
Enumeration Date 2019-09-20
Last Update Date 2019-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DEN.00204109 CO Dental Providers

Office Location

Street Address 1933 28TH ST STE 204
City BOULDER
State CO
Zip Code 80301-1100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013568963 Experience Dental Pllc Clinic/Center 1933 28th St Ste 204, Boulder, CO 80301-1100 2019-09-23

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NPI Name Taxonomy Address Enumeration
1265031454 Jonathan William Garson Social Worker 1790 30th St., Boulder, CO 80301 2020-10-20
1164048161 Crossroads Medical Center Family Medicine 2760 29th St., Suite 28, Boulder, CO 80301 2020-06-25
1316585045 Karissa Marlene Smith Registered Nurse 4770 Pearl Street, Suite A, Boulder, CO 80301 2019-12-12
1184273864 National Doula Network Doula 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 2019-09-05
1861047086 Samuel Shay Chiropractor 1750 30th St, Ste 1, #226, Boulder, CO 80301 2019-08-05
1124504808 Be Free Live Now LLC Social Worker 2945 Center Creen Court, Suite G211, Boulder, CO 80301 2018-07-16
1720596703 Janis Dochterman Counselor 5378 Sterling Drive, Studio #3, Boulder, CO 80301 2018-01-12
1033628631 Whitney Shea Physical Therapy Assistant 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 2017-09-26
1538688908 Kyle N. Daniel Dds PC Dentist 2830 Valmont Rd, Boulder, CO 80301 2017-09-16
1497205231 Jenna Orosco Counselor 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 2016-10-05
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336751213 Michael Kawulok Dentist 5221 Pinehurst Dr, Boulder, CO 80301-3792 2020-08-20
1538688908 Kyle N. Daniel Dds PC Dentist 2830 Valmont Rd, Boulder, CO 80301 2017-09-16
1508243775 Alyssa Ellsworth Dentist 4150 Darley Ave Ste 3, Boulder, CO 80305-6537 2015-04-27
1982008546 Kenneth Warren Ostrov Dentist 661 S Broadway St, Boulder, CO 80305-5926 2014-10-10
1952718553 David P. Stangl, Jr., Dmd, Professional LLC Dentist 2880 Folsom St Ste 202, Boulder, CO 80304-3769 2014-07-15
1497098974 Andrea Irarrazabal Dentist 3216 Arapahoe Ave, Boulder, CO 80303-1043 2013-04-02
1770835118 Gary Raymond Hubiak Dentist 810 36th St, Boulder, CO 80303-2440 2012-10-09
1427316215 Anil P Nutakki Dentist 1840 Folsom St Ste 301, Boulder, CO 80302-5712 2012-04-30
1457661647 Corbett W Summers Dds Dentist 777 29th St., Suite 300, Boulder, CO 80303 2010-10-21
1417264177 Rochelle Acoba Manangkil Dentist 2100 28th St, 4f, Boulder, CO 80301-1106 2010-09-01
Find all providers in BOULDER

Competitor

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City BOULDER
Zip Code 80301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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