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NPI 1164036166

NPI 1164036166 : PEAKVIEW DENTISTRY PLLC : BOULDER, CO

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General NPI Number Information
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    NPI Number           |    1164036166
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEAKVIEW DENTISTRY PLLC 
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Dates
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    Enumeration Date     |    09/07/2020
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    1200 28TH ST STE 300 
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    City                 |    BOULDER
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    State                |    CO
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    Zip                  |    80303-1756
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    Country              |    US
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    Telephone            |    303-417-1644
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    Fax                  |    303-417-1790
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Provider Business Mailing Address
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    Address Line         |    1200 28TH ST STE 300 
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    City                 |    BOULDER
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    State                |    CO
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    Zip                  |    80303-1756
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    Country              |    US
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    Telephone            |    303-417-1644
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    Fax                  |    303-417-1790
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ADAM  KWIATKOWSKI 
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    Credential           |    DMD
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    Telephone            |    773-744-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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