Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336751213 Individual Practitioner Male Practitioner

Dr. Michael Kawulok , DDS

Dentist - General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kawulok, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boulder, CO. Practice services are available at 1440 28TH ST STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1440 28th St Ste 4

Boulder, CO 803031030

Telephone 3034428625
Associated Practice Facility / Clinic
🏢 Ted C. Kawulok D.d.s., P.c. Facility NPI 1669850608

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: 2025-10-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D010785

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
NPI 1245223593

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 28, 2025

Registered at 1440 28TH ST STE 4, BOULDER, CO 803031030 (Tel: 3034428625)

📍
Updated Business Mailing Address October 28, 2025

Registered at 1400 28TH ST STE 4, BOULDER, CO 803031096

📍
Updated Practice Location June 29, 2022

Registered at 4900 N LITCHFIELD ROAD, BLDG C SUITE 1, LITCHFIELD PARK, AZ 853405061 (Tel: 3038195849)

📍
Updated Business Mailing Address June 29, 2022

Registered at 34225 N 27TH DRIVE, SUITE 241, PHOENIX, AZ 85085

👤
Provider Name / Credentials Updated June 29, 2022

Recorded as MICHAEL KAWULOK, DDS

NPI Profile Active August 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2020

Registered at 5221 PINEHURST DR, BOULDER, CO 803013792 (Tel: 3038195849)

📍
Updated Business Mailing Address August 20, 2020

Registered at 5221 PINEHURST DR, BOULDER, CO 803013792

👤
Provider Name / Credentials Updated August 20, 2020

Recorded as MICHAEL KAWULOK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2020

Dentist (License #D010785 in AZ)

🟢
Initial NPI Registration & Enumeration August 20, 2020

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: 1336751213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2020
Last Update: October 28, 2025
Sole Proprietor: Yes

Mailing Address

1400 28th St Ste 4

Boulder, CO 803031096

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.