Benchmark Dental of Greeley, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10414 Issued in CO

Legal business name

BENCHMARK DENTAL OF GREELEY, LLC

Practice address

1640 25TH Ave
Greeley, CO 80634-4959

Phone

(970) 352-5448

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Fowler, D.M.D.

Title

President/Dentist

Phone

(970) 352-5448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1730545393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 25TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344959",
            "telephone_number": "970-352-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 25TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344959",
            "telephone_number": "970-352-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK DENTAL OF GREELEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "970-352-5448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Bell
• Jennifer L Bell, PEER
• Holland Bellamy
• Grace Belton, MSW
• Janet Marie Beltz, FNP-C
• Mary Elizabeth Bender, APRN
• Stephanie Benitez-Bravo
• Robert John Benke, D.D.S.
• Benner & Sharp Family Dentistry
• Sidney Jameson Benner, D.D.S.

• 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 Jan 12, 2016; 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.