Shawn M Custer Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

00203394 Issued in CO

Legal business name

SHAWN M CUSTER DENTAL PLLC

Practice address

3400 W 16TH St Ste 8E
Greeley, CO 80634-6862

Phone

(970) 352-5448

NPI assigned

May 1, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shawn Michael Custer, DDS

Title

Owner Doctor

Phone

(402) 669-4971

Specialties & licenses 1

Addresses

Other names 1

• Benchmark Dental of Greeley Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beatrice Barbara Brittan, DDS

  • General Practice Dentistry
  • Greeley, CO
  • NPI 1447989165
  NPD (past)
• Maxwell Lyon

  • Dentist
  • Greeley, CO
  • NPI 1295304277
  NPD (past)
• Evan Pivetz, DDS

  • General Practice Dentistry
  • Greeley, CO
  • NPI 1689249567

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1023506433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE 8E",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346862",
            "telephone_number": "970-352-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE 8E",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346862",
            "telephone_number": "970-352-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M CUSTER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "402-669-4971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00203394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Dental of Greeley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Alexandra Sharp, CRNA
• Isabel T Sharp
• Gail Shatz
• Shannon Mary Shaw, MD
• Sterling Alison Shaw
• Shawn M Murray DDS Ms PC
• Kelsey Rains Shay, M.D.
• Kayla Shea
• Michael W. Shedd, M.D.
• Natalie Sheehan, DNP, FNP-BC

• Dental Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.