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

South Greeley, Prof LLC

Organization Dentist · NPI 1053811463

South Greeley, Prof LLC is a Dentist in Greeley, Colorado. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
Specialties on file
3
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

2716 11th Ave
Greeley, CO 80631-8443
Phone: (970) 673-4310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9766 (CO)
Dentist Taxonomy 122300000X · Licence 10437 (CO)
Dentist Taxonomy 122300000X · Licence 10703 (CO)

Record details

NPI number1053811463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jarum Boyer — Dentist/Owner · (970) 673-4310
Other names Comfort Dental South Greeley
NPI enumeratedFebruary 13, 2018
Last updated in NPPESFebruary 13, 2018
Mailing address2716 11th Ave, Greeley, CO 80631-8443

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