Active NPI 1235667494 Individual Practitioner Male Practitioner

Dr. Adam Altdorfer , DDS

Dentist - General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Adam Altdorfer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boulder, CO. Practice services are available at 1933 28TH ST STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1933 28th St Ste 204

Boulder, CO 803011100

Telephone 7206451226

Associated Practice Facility / Clinic

🏢 Experience Dental Pllc Facility NPI 1013568963

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boulder, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.0 Yrs

State Avg: 18.5 Yrs

Regional Practice Density

101 Specialists

Practicing in Boulder, CO (2613 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-05

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 00203463

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Jeremy Altdorfer , DDS

Dentist - General Practice

NPI 1780235713

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 05, 2021

Registered at 1933 28TH ST STE 204, BOULDER, CO 803011100 (Tel: 7206451226)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Dentist (License #00203463 in CO)

✅

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2017

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6146883763)

📍

Updated Business Mailing Address May 31, 2017

Registered at 1482 MICHIGAN AVE, COLUMBUS, OH 432012635

👤

Provider Name / Credentials Updated May 31, 2017

Recorded as ADAM ALTDORFER, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Dentist (License #30025096 in OH)

🟢

Initial NPI Registration & Enumeration May 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235667494

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2017

Last Update: March 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1482 Michigan Ave

Columbus, OH 432012635

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.