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Experience Dental Pllc

Dental Clinic/Center in Boulder, CO · enumerated 2019 · authorized official Jeremy Altdorfer, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013568963

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Registry record

Entity type Organization (Type 2)
Legal business name Experience Dental Pllc
Practice address 1933 28th St Ste 204, Boulder, CO, 80301
Phone (720) 645-1226
Enumeration date Sep 23, 2019
Last updated in NPPES Jun 15, 2026

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jeremy Altdorfer
Title Ceo
Phone (720) 645-1226

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Experience Dental Pllc?
NPPES lists Jeremy Altdorfer (Ceo) as the authorized official for this organization.
What is the NPI number for Experience Dental Pllc?
The NPI for Experience Dental Pllc is 1013568963, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-15.