GREELEY DENTAL AND ORTHODONTICS PLLC (NPI# 1568011070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568011070 |
| Entity Type | Organization |
| Organization Name | GREELEY DENTAL AND ORTHODONTICS PLLC |
| Practice Address |
2672 11th Ave Greeley CO 80631-8016 |
| Practice Telephone | 8175298151 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | DR. YAHYA MANSOUR (OWNER) |
| Authorized Official Telephone | 8175298151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Greeley Dental and Orthodontics PLLC | 100 E. 15th Street, Suite 520, Ft. Worth, TX 76102 |
| Street Address |
2672 11TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302894 | Bryan Mcguigan Thompson | Dentist | 4421 Centerplace Dr Unit A, Greeley, CO 80634-3764 | 2018-07-05 |
| 1053811463 | South Greeley, Prof. LLC | Dentist | 2716 11th Ave, Greeley, CO 80631-8443 | 2018-02-13 |
| 1982056057 | Blake Cure | Dentist | 1819 61st Ave Ste 102, Greeley, CO 80634 | 2016-07-12 |
| 1790160687 | Jacob Dunham | Dentist | 7251 W 20th St Bldg H, Greeley, CO 80634-4625 | 2015-07-21 |
| 1528461399 | Lauren Ann Allen | Dentist | 5100 W 20th St Ste B, Greeley, CO 80634-3051 | 2014-10-07 |
| 1013328988 | Sara Elizabeth Maas | Dentist | 3485c W. 10th St., Greeley, CO 80634 | 2014-05-14 |
| 1730504127 | Faiza Iqbal Baig | Dentist | 3485 W 10th St, Greeley, CO 80634-5367 | 2014-02-21 |
| 1245594050 | Michael Ted Kostal | Dentist | 6632 W 10th St Ste 101, Greeley, CO 80634-9734 | 2012-06-26 |
| 1205198983 | Taher Dhoon | Dentist | 1813 61st Ave Ste 210, Greeley, CO 80634 | 2012-06-08 |
| 1710298294 | Nathaniel William Kunzman | Dentist | 1910 56th Avenue, Greeley, CO 80634 | 2010-06-29 |
| Find all providers in GREELEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.