| Greeley Dental, Professional Llc | |
|
3766 W 10th St Ste A Greeley CO 80634-1823 | |
| (970) 304-1273 | |
| (970) 304-6979 |
| Full Name | Greeley Dental, Professional Llc |
|---|---|
| Speciality | Dentist |
| Location | 3766 W 10th St, Greeley, Colorado |
| Authorized Official Name and Position | Andrey Kondratenko (DENTIST) |
| Authorized Official Contact | 9703041273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greeley Dental, Professional Llc 3766 W 10th St Ste A Greeley CO 80634-1823 Ph: (970) 304-1273 | Greeley Dental, Professional Llc 3766 W 10th St Ste A Greeley CO 80634-1823 Ph: (970) 304-1273 |
| NPI Number | 1255740577 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255740577 | NPI | - | NPPES |
| 31476538 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9341 (Colorado) | Primary |
Happy Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 9th St Ste 101, Greeley, CO 80631 Phone: 970-353-5203 | |
Robert O. Kron P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 W 12th St, #b, Greeley, CO 80634 Phone: 970-351-6095 Fax: 970-351-0155 | |
Burt Stewart Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6937 West 10th Street, Greeley, CO 80634 Phone: 970-356-5277 Fax: 970-351-8788 | |
Sarang & Mahal Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 61st Ave Ste 108, Greeley, CO 80634 Phone: 970-515-6332 |