Boulder Oral Surgery
Boulder Oral Surgery is a healthcare organization registered as Oral and Maxillofacial Surgery (Dentist) in Boulder, CO, holding Type 2 (organization) NPI 1467967307 since 2017. The authorized official on file is Terrence Nedbalski, Owner.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1467967307 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boulder Oral Surgery |
| Other name | <Unavail> |
| Parent organization | Terrence Nedbalski DDS Pllc |
| Practice address | 3450 PENROSE PL STE 120, Boulder, CO, 80301 |
| Phone | 3034479735 |
| Fax | 3034479735 |
| Enumeration date | 2017-12-13 |
| Last updated in NPPES | 2018-03-17 |
Authorized official
| Name | Terrence Nedbalski |
|---|---|
| Title | Owner |
| Phone | 3034479735 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Primary | 9410 | CO |
Copy-ready billing details
Provider: Boulder Oral Surgery NPI: 1467967307 Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist)) Address: 3450 PENROSE PL STE 120, Boulder, CO, 80301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548689029 | James Brandon Luter | Individual | Oral & Maxillofacial Surgery (D.M.D.) | Boulder, CO |
Verify this record
Cross-check NPI 1467967307 against the authoritative CMS record: view Boulder Oral Surgery 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
What type of organization is Boulder Oral Surgery?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-17.