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PDR GREELEY PLLC
NPI 1992261820
Dentist - Pediatric Dentistry in Greeley, CO

Active since February 15, 2019
2003 46TH AVE, GREELEY, CO 80634(970) 330-4600(970) 330-4612 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pdr Greeley Pllc NPPES

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

PDR GREELEY PLLC (NPI 1992261820), doing business as Greeley Kids Dental And Orthodontics, is a healthcare organization registered as a pediatric dentistry in Greeley, Colorado and active in the NPI registry since February 2019. The organization lists Keith Van Tassell, Dentist, as its authorized official.

NPPES Registry Identity

NPI1992261820
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePDR GREELEY PLLC
Location Address2003 46TH AVEGreeley, CO 80634-3250
Mailing Address2003 46th AveGreeley, CO 80634-3250 · (970) 330-4600 · Fax (970) 330-4612
Phone(970) 330-4600
Fax(970) 330-4612
Organization SubpartNo
Authorized OfficialKeith Van TassellDentist · (970) 330-4600
Enumeration DateFebruary 15, 2019
✔ NPI 1992261820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2003 46TH AVE, Greeley, CO 80634
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Other Names 1

Doing Business AsGreeley Kids Dental And Orthodontics

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

D MALCOLM STRANGE DDS PC
Dentist (Pediatric Dentistry)
2003 46TH AVE
GREELEY, CO 80634
Weld County (970) 330-4600
CRANE AND SEAGER ORTHODONTICS- GREELEY LLP
Dentist (Orthodontics and Dentofacial Orthopedics)
2003 46TH AVE
GREELEY, CO 80634
Weld County (970) 330-4600
DR. MOIRA GINI GROH D.D.S
Dentist (Pediatric Dentistry)
2003 46TH AVE
GREELEY, CO 80634
Weld County (970) 330-4600

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 Pdr Greeley PLLC's NPI number?

The NPI number for Pdr Greeley PLLC is 1992261820. It was assigned to this organization in the NPPES registry on February 15, 2019. The provider is doing business as Greeley Kids Dental and Orthodontics.

Where is Pdr Greeley PLLC located?

Pdr Greeley PLLC is located at 2003 46th Ave, Greeley, CO 80634. The listed phone number is (970) 330-4600.

What is Pdr Greeley PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pdr Greeley PLLC accept?

Health plans from UnitedHealthcare list Pdr Greeley PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pdr Greeley PLLC was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.