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Greeley Dental, Professional LLC

Dentist in Greeley, CO · enumerated 2014 · authorized official Andrey Kondratenko, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255740577

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Registry record

Entity type Organization (Type 2)
Legal business name Greeley Dental, Professional LLC
Practice address 3766 W 10th St, Ste A, Greeley, CO, 80634
Phone (970) 304-1273
Fax (970) 304-6979
Enumeration date Aug 12, 2014
Last updated in NPPES Aug 12, 2014

Taxonomy & classification

122300000X Dentist Dental Providers · License 9341 (CO) Primary

Authorized official

Name Andrey Kondratenko
Title Dentist
Phone (970) 304-1273

Other identifiers

Identifier Type State Issuer
31476538 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Greeley Dental, Professional LLC?
Greeley Dental, Professional LLC is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-12.