Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greeley Dental, Professional LLC

Organization Dentist · NPI 1255740577

Greeley Dental, Professional LLC is a Dentist in Greeley, Colorado. Licensed in Colorado. Registered with an NPI since 2014.

Licensed in
CO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3766 W 10th St Ste A
Greeley, CO 80634-1823
Phone: (970) 304-1273
Fax: (970) 304-6979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9341 (CO)

Record details

NPI number1255740577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrey Kondratenko — Dentist · (970) 304-1273
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014
Mailing address3766 W 10th St, Ste A, Greeley, CO 80634-1823

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