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Pdr Greeley Pllc

Dentist - Pediatric Dentistry

KEITH VAN TASSELL
NPI: 1992261820Greeley, Colorado, 80634(970) 330-4600

About Pdr Greeley Pllc

Pdr Greeley Pllc is a healthcare organization providing Dentist - Pediatric Dentistry services, with specialized expertise in Pediatric Dentistry, registered under National Provider Identifier (NPI) number 1992261820.

The authorized official for Pdr Greeley Pllc is KEITH VAN TASSELL. The organization is headquartered at 2003 46TH AVE, Greeley, Colorado 80634. The main office can be reached at (970) 330-4600. Pdr Greeley Pllc has been NPI-registered since 2019.

Locations & Contact

Primary Location

Address
2003 46TH AVE
City
Greeley
State
Colorado
ZIP
80634-3250
Phone
(970) 330-4600
Fax
(970) 330-4612
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Authorized Official

Name
KEITH VAN TASSELL

Mailing Address

Address
2003 46TH AVE
City
GREELEY
State
CO
ZIP
806343250

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dentist - Pediatric Dentistry
Classification
Dentist
Specialization
Pediatric Dentistry
Taxonomy Code
1223P0221X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Pdr Greeley Pllc's NPI number?
Pdr Greeley Pllc's National Provider Identifier (NPI) is 1992261820. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Pdr Greeley Pllc specialize in?
Pdr Greeley Pllc specializes in Dentist - Pediatric Dentistry.
Where is Pdr Greeley Pllc located?
Pdr Greeley Pllc practices at 2003 46TH AVE, Greeley, Colorado 80634. You can reach them by phone at (970) 330-4600.
Does Pdr Greeley Pllc accept Medicare?
Based on available data, Pdr Greeley Pllc is not currently enrolled in the Medicare program.
Does Pdr Greeley Pllc offer telehealth or virtual visits?
Pdr Greeley Pllc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Pdr Greeley Pllc holds NPI 1992261820, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.