Healthcare Provider Details

I. General information

NPI: 1194425348
Provider Name (Legal Business Name): HANNAH PRICE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 PENROSE PL STE 103
BOULDER CO
80301-1809
US

IV. Provider business mailing address

3400 PENROSE PL STE 103
BOULDER CO
80301-1809
US

V. Phone/Fax

Practice location:
  • Phone: 303-449-1301
  • Fax:
Mailing address:
  • Phone: 303-449-1301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDEN.00206734
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: