Boulder Modern Dentistry, LLP
NPI 1104130293ActiveOrganization· Dentist, General Practice· Boulder, CO
Dentist, General Practice in Boulder, Colorado, registered in NPPES in July 2010. The authorized official on file is William J. McGlashan, DDS, Contracts Admin.
Overview
| NPI | 1104130293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2010 |
| Last updated in NPPES | Jul 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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