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

Pdr Greeley PLLC

Organization Pediatric Dentistry · NPI 1992261820

Pdr Greeley PLLC is a Pediatric Dentistry in Greeley, Colorado. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2003 46th Ave
Greeley, CO 80634-3250
Phone: (970) 330-4600
Fax: (970) 330-4612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1992261820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Van Tassell — Dentist · (970) 330-4600
Other names Greeley Kids Dental And Orthodontics
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019
Mailing address2003 46th Ave, Greeley, CO 80634-3250

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