Boulder Dental Center Table Mesa PC
Boulder Dental Center Table Mesa PC is a healthcare organization registered as Dentist in Boulder, CO, holding Type 2 (organization) NPI 1215894050 since 2026. The authorized official on file is Danny Abboud, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215894050 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boulder Dental Center Table Mesa PC |
| Practice address | 4790 TABLE MESA DR, Boulder, CO, 80305 |
| Phone | 3034425000 |
| Enumeration date | 2026-01-05 |
| Last updated in NPPES | 2026-01-05 |
Authorized official
| Name | Danny Abboud |
|---|---|
| Title | President |
| Phone | 3034425000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Boulder Dental Center Table Mesa PC NPI: 1215894050 Taxonomy: 122300000X (Dentist) Address: 4790 TABLE MESA DR, Boulder, CO, 80305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073553350 | Mark Zuck | Individual | Physical Therapist | Boulder, CO |
| 1154357663 | Rob Rapier | Individual | Specialist | Boulder, CO |
| 1366460792 | Shawna Lambrecht | Individual | Physical Therapist | Boulder, CO |
| 1306919220 | Elizabeth Nevers | Individual | Professional Counselor | Boulder, CO |
Verify this record
Cross-check NPI 1215894050 against the authoritative CMS record: view Boulder Dental Center Table Mesa PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Boulder Dental Center Table Mesa PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-05.