Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124331004 Individual Practitioner Female Practitioner

Dr. Marisa Elizabeth Patt , DMD

Dentist - Prosthodontics • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Marisa Patt, DMD is a registered healthcare professional specializing in Dentist - Prosthodontics in Boulder, CO. Practice services are available at 7490 CLUBHOUSE RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7490 Clubhouse Rd Ste 101

Boulder, CO 803013720

Telephone 3035301212
Associated Practice Facility / Clinic
🏢 Judith Timchula Dds, Pc Facility NPI 1396131306

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Boulder, CO (69 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: 2023-06-27
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License CO 00203089

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Secondary Practice Locations

5400 Idylwild Trl, Suite A

Boulder, CO 80301

Phone: 3035301212

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Judith Timchula , DDS

Dentist - General Practice

NPI 1841302361

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 July 06, 2023

Registered at 7490 CLUBHOUSE RD STE 101, BOULDER, CO 803013720 (Tel: 3035301212)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Dentist (License #00203089 in CO)

NPI Profile Active February 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2015

Registered at 595 MADISON AVE, STE 1208, NEW YORK, NY 100221907 (Tel: 2123713311)

📍
Updated Business Mailing Address February 02, 2015

Registered at 595 MADISON AVE, STE 1208, NEW YORK, NY 100221907 (Tel: 2123713311)

👤
Provider Name / Credentials Updated February 02, 2015

Recorded as MARISA PATT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2015

Dentist (License #054911 in NY)

🟢
Initial NPI Registration & Enumeration July 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Marisa Patt. Be the first to share your experience!

Sign in to leave a review for Dr. Marisa Patt

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124331004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2010
Last Update: July 06, 2023
Sole Proprietor: Yes

Mailing Address

595 Madison Ave, Ste 1208

New York, NY 100221907

Phone: 2123713311

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.