| South Greeley, Prof. Llc | |
|
2716 11th Ave Greeley CO 80631-8443 | |
| (970) 673-4310 | |
| Not Available |
| Full Name | South Greeley, Prof. Llc |
|---|---|
| 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 |
|---|---|
| South Greeley, Prof. Llc 2716 11th Ave Greeley CO 80631-8443 Ph: (970) 673-4310 | South Greeley, Prof. Llc 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 | 10437 (Colorado) | Secondary |
| 122300000X | Dentist | 10703 (Colorado) | Secondary |
| 122300000X | Dentist | 9766 (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 | |
Shawn M Custer Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 W 16th St Ste 8e, Greeley, CO 80634 Phone: 970-352-5448 | |
Admire Dental Of Greeley Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6200 W 9th St Ste 2b, Greeley, CO 80634 Phone: 970-930-3439 | |
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 | |
Shawn M Murray Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 56th Ave Ste A, Greeley, CO 80634 Phone: 970-330-5363 Fax: 970-330-5451 |