| Comfort Dental South Greeley | |
|
2716 11th Ave Greeley CO 80631-8443 | |
| (970) 673-4310 | |
| Not Available |
| Full Name | Comfort Dental South Greeley |
|---|---|
| Speciality | Dentist |
| Location | 2716 11th Ave, Greeley, Colorado |
| Authorized Official Name and Position | Jarum Boyer (DENTIST/OWNER) |
| Authorized Official Contact | 9706734310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Dental South Greeley 2716 11th Ave Greeley CO 80631-8443 Ph: (970) 673-4310 | Comfort Dental South Greeley 2716 11th Ave Greeley CO 80631-8443 Ph: (970) 673-4310 |
| NPI Number | 1053811463 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053811463 | NPI | - | NPPES |
| 1720371404 | Other | CO | NPI |
| 50472721 | Medicaid | CO | |
| 1285814772 | Other | CO | NPI |
| 49305832 | Medicaid | CO | |
| 49032551 | Medicaid | CO | |
| 1063555043 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9766 (Colorado) | Primary |
| 122300000X | Dentist | 10437 (Colorado) | Secondary |
| 122300000X | Dentist | 10703 (Colorado) | Secondary |
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