DR. GEORGE BRUCE DOUGLAS (NPI# 1033117239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033117239 |
| Entity Type | Individual |
| Full Name | DR. GEORGE BRUCE DOUGLAS |
| Credential | D.D.S. |
| Practice Address |
3100 Arapahoe Ave Suite #300 Boulder CO 80303-1093 |
| Practice Telephone | 3034496621 |
| Practice Fax Number | 3034139341 |
| Mailing Telephone | 3034496621 |
| Mailing Fax Number | 3034139341 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
104245 | CO | Dental Providers |
| Street Address |
3100 ARAPAHOE AVE SUITE #300 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652582 | Joseph Rollin Parsons | Dentist | 3100 Arapahoe Ave, Suite #300, Boulder, CO 80303-1093 | 2005-07-12 |
| 1356462014 | Dr. Dean Raffelock, A Professional Corporation | Chiropractor | 3100 Arapahoe Ave, Boulder, CO 80303-1093 | 2007-04-02 |
| 1740310788 | Boulder Endodontics PC | Dentist | 3100 Arapahoe Ave, Suite 300, Boulder, CO 80303-1093 | 2007-03-07 |
| 1235122128 | Carolyn S Kupka | Dentist | 3100 Arapahoe Ave, Ste 303, Boulder, CO 80303-1093 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356577381 | Brian C Warner | Dentist | 7490 Clubhouse Rd Ste 101, Boulder, CO 80301 | 2009-06-04 |
| 1487652582 | Joseph Rollin Parsons | Dentist | 3100 Arapahoe Ave, Suite #300, Boulder, CO 80303-1093 | 2005-07-12 |
| 1740310788 | Boulder Endodontics PC | Dentist | 3100 Arapahoe Ave, Suite 300, Boulder, CO 80303-1093 | 2007-03-07 |
| 1689649196 | Carl Christian Skulski | Dentist | 350 Broadway St, Suite 201, Boulder, CO 80305-3343 | 2006-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329047 | Front Range Endodontics, Pllc | Dentist | 2116 Hollow Brook Dr Ste 200, Colorado Springs, CO 80918-1790 | 2020-09-06 |
| 1205448107 | Avos Dental Specialists, Pllc | Dentist | 14769 W 87th Pkwy, Arvada, CO 80005-1454 | 2020-08-20 |
| 1003433251 | Ridgegate Endodontics, Pllc | Dentist | 10107 Ridgegate Pkwy # G020, Lone Tree, CO 80124-5637 | 2020-07-02 |
| 1518511146 | Colorado Dental Specialist Practice, LLC | Dentist | 18121 E Hampden Ave Unit E, Aurora, CO 80013-3591 | 2019-07-31 |
| 1447803382 | Jj Elevation, Pllc | Dentist | 10012 Coyote Song Ter, Colorado Springs, CO 80924-4504 | 2019-07-19 |
| 1992363444 | Ccdi Parker Pdc Pllc | Dentist | 10841 Crossroads Dr Ste 9, Parker, CO 80134-9090 | 2019-05-30 |
| 1134786403 | Safer,carr and Sachs, Dds,pc | Dentist | 155 Cook St Ste 301, Denver, CO 80206-5317 | 2019-05-22 |
| 1013573815 | Ccdi Denver Pdc Pllc | Dentist | 1573 S Broadway, Denver, CO 80210-2607 | 2019-05-16 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1972000933 | Rocky Mountain Root Canal Specialist, Pllc | Dentist | 13762 Colorado Blvd Unit 154, Thornton, CO 80602-6919 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.