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GREELEY DENTAL, PROFESSIONAL LLC
NPI 1255740577
Dentist in Greeley, CO

Active since August 12, 2014
3766 W 10TH ST, STE A, GREELEY, CO 80634(970) 304-1273(970) 304-6979 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greeley Dental, Professional Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREELEY DENTAL, PROFESSIONAL LLC (NPI 1255740577) is a healthcare organization registered as a dentist in Greeley, Colorado and active in the NPI registry since August 2014. The organization lists Andrey Kondratenko, Dentist, as its authorized official.

NPPES Registry Identity

NPI1255740577
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREELEY DENTAL, PROFESSIONAL LLC
Location Address3766 W 10TH ST, STE AGreeley, CO 80634-1823
Mailing Address3766 W 10th St, Ste AGreeley, CO 80634-1823 · (970) 304-1273 · Fax (970) 304-6979
Phone(970) 304-1273
Fax(970) 304-6979
Organization SubpartNo
Authorized OfficialAndrey KondratenkoDentist · (970) 304-1273
Enumeration DateAugust 12, 2014
✔ NPI 1255740577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · 9341
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3766 W 10TH ST, Greeley, CO 80634
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Other Identifiers 1

Medicaid31476538CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC H SUTHERLAND DMD
Dentist (General Practice)
3766 W 10TH ST
GREELEY, CO 80634
Weld County (970) 304-1273
COURTNEY L STEVENS DDS
Dentist (General Practice)
3766 W 10TH ST, SUITE A
GREELEY, CO 80634
Weld County (970) 304-1273
DR. ANDREY A KONDRATENKO DDS
Dentist (General Practice)
3766 W 10TH ST, SUITE A
GREELEY, CO 80634
Weld County (970) 304-1273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greeley Dental, Professional LLC's NPI number?

The NPI number for Greeley Dental, Professional LLC is 1255740577. It was assigned to this organization in the NPPES registry on August 12, 2014.

Where is Greeley Dental, Professional LLC located?

Greeley Dental, Professional LLC is located at 3766 W 10th St Ste A, Greeley, CO 80634. The listed phone number is (970) 304-1273.

What is Greeley Dental, Professional LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Greeley Dental, Professional LLC was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.