Dr Shawn Michael Custer, DDS | |
3400 W 16th St Ste 8e, Greeley, CO 80634-6862 | |
(970) 352-5448 | |
Not Available |
Full Name | Dr Shawn Michael Custer |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 3400 W 16th St Ste 8e, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801324298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 00203394 (Colorado) | Secondary |
1223G0001X | Dentist - General Practice | 7363 (Nebraska) | Primary |
Entity Name | Shawn M Custer Dental Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023506433 PECOS PAC ID: 8022415934 Enrollment ID: O20210920002604 |
Mailing Address | Practice Location Address |
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Dr Shawn Michael Custer, DDS 3400 W 16th St Ste 8e, Greeley, CO 80634-6862 Ph: (970) 352-5448 | Dr Shawn Michael Custer, DDS 3400 W 16th St Ste 8e, Greeley, CO 80634-6862 Ph: (970) 352-5448 |
Dr. Gary D. Sheldon, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3485 W 10th St Ste C, Greeley, CO 80634 Phone: 970-353-4746 Fax: 970-353-4751 | |
Dr. Gregory Lyle Obermann, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7251 West 20th Street, Bldg.h-2, Greeley, CO 80634 Phone: 970-351-7153 | |
Sara Elizabeth Maas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3485c W. 10th St., Greeley, CO 80634 Phone: 970-353-4746 | |
Dr. Matthew Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1819 61st Ave Ste 102, Greeley, CO 80634 Phone: 405-206-1286 | |
Dr. Zachary Nathan Gonzales, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6632 W 10th St, Ste 101, Greeley, CO 80634 Phone: 970-353-4848 Fax: 970-356-5752 | |
Dr. W. Mark Brown, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3535 W 12th St, Suite A, Greeley, CO 80634 Phone: 970-353-7811 | |
Dr. Gilbert H Sydney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3705 W 12th St, Greeley, CO 80634 Phone: 970-356-3717 |