NPIMap

Organization Active NPI

Greeley Dental, Professional LLC

  • Dental Clinic/Center
  • Greeley, CO
National Provider Identifier
1821691833
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREELEY DENTAL, PROFESSIONAL LLC
Doing business as
Comfort Dental Greeley
Practice address
3766 W 10TH St Ste a
Greeley, CO 80634-1823
Phone
(970) 304-1273
Fax
(970) 304-6979
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Eric H SutherlandNPI 1245469501
Title
Owner/Dentist
Phone
(970) 304-1273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3766 W 10TH St Ste a
Greeley, CO 80634-1823

Mailing address

3766 W 10TH St Ste a
Greeley, CO 80634-1823
Phone (970) 304-1273

Other names 1

  • Comfort Dental Greeley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort Dental Greeley2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3766 W 10th St
Ste A
Greeley, CO 80634
Phone (970) 304-1273

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1821691833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3766 W 10TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341823",
            "telephone_number": "970-304-1273",
            "fax_number": "970-304-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3766 W 10TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341823",
            "telephone_number": "970-304-1273",
            "fax_number": "970-304-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY DENTAL, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "970-304-1273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Greeley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.