SHAWN M. CUSTER DENTAL (NPI# 1023506433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023506433 |
| Entity Type | Organization |
| Organization Name | SHAWN M. CUSTER DENTAL |
| Other Organization Name | BENCHMARK DENTAL OF GREELEY |
| Practice Address |
3400 W 16th St Ste 8e Greeley CO 80634-6862 |
| Practice Telephone | 9703525448 |
| Mailing Telephone | 9703525448 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | DR. SHAWN MICHAEL CUSTER (OWNER DOCTOR) |
| Authorized Official Telephone | 4026694971 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
00203394 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Benchmark Dental of Greeley | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Shawn M. Custer Dental, PLLC | 3400 W. 16th St Ste 8e, Greeley, CO 80634 |
| Street Address |
3400 W 16TH ST STE 8E |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801324298 | Shawn Michael Custer | Dentist | 3400 W 16th St Ste 8e, Greeley, CO 80634-6862 | 2017-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164088365 | Cara Jones Dds Inc | Clinic/Center | 2918 W 10th St Ste 1, Greeley, CO 80634-5457 | 2019-05-13 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1730670373 | Uyemura Choice Dentistry LLC | Clinic/Center | 4689 W 20th St Unit D, Greeley, CO 80634-3218 | 2018-05-18 |
| 1730545393 | Benchmark Dental of Greeley, LLC | Clinic/Center | 1640 25th Ave, Greeley, CO 80634-4959 | 2016-01-12 |
| 1528432473 | Be-co-me LLC | Clinic/Center | 2855 35th Ave, Greeley, CO 80634-9473 | 2015-11-16 |
| 1417281387 | Centerra Orthodontics | Clinic/Center | 1825 56th Ave Ste A, Greeley, CO 80634-3028 | 2009-09-25 |
| 1659978138 | Taft Hill Orthodontics of Greeley Pllc | Clinic/Center | 3400 W 16th St # 8e, Greeley, CO 80634-6862 | 2020-10-07 |
| 1679116875 | Sunrise Community Health | Clinic/Center | 111 E 26th St, Greeley, CO 80631-7300 | 2019-10-21 |
| 1366098444 | Kunzman & Associates Inc. Dba Gb Dental Associates | Clinic/Center | 1910 56th Ave, Greeley, CO 80634-2945 | 2019-08-14 |
| 1679133078 | James Plaisted Dds Inc | Clinic/Center | 2918 W 10th St Ste 1, Greeley, CO 80634-5457 | 2019-06-18 |
| 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.