South Boulder Pediatric Dentistry is a Pediatric Dental Clinic in Boulder, Colorado. It is located at 805 S Broadway St Ste 103, Boulder, CO and its contact number is 720-441-2974. The authorized person for South Boulder Pediatric Dentistry is Samantha Graffeo Gardner
who is Owner/pediatric Dentist of the clinic and their contact number is 720-441-2974.
South Boulder Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
South Boulder Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South Boulder Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 805 S Broadway St Ste 103, Boulder,
Colorado, 80305-5972 |
| Phone: | 720-441-2974 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Samantha Graffeo Gardner |
| Position: | Owner/pediatric Dentist |
| Contact Number: | 720-441-2974 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South Boulder Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1972287217 |
| NPI Enumeration Date: | 14 Jun, 2023 |
| NPI Last Update On: | 14 Jun, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Boulder Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | South Boulder Pediatric Dentistry
2945 Moorhead Ave,
Boulder, Colorado |
| Zip: | 80305-3342 |
| Phone Number: | 720-441-2974 |
Patients can reach South Boulder Pediatric Dentistry at
805 S Broadway St Ste 103, Boulder, Colorado or can
call to book an appointment on 720-441-2974.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.