OrganizationActive
Greeley Dental, Professional LLC
NPI 1255740577 · Dentist · Greeley, CO
Greeley Dental, Professional LLC is a Dentist organization in Greeley, CO (NPI 1255740577).
Provider details
- NPI number
- 1255740577
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Andrey Kondratenko, Dentist(970) 304-1273
- License
- 9341 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3766 W 10th St
Ste a
Greeley, CO 80634-1823
Phone: (970) 304-1273
Fax: (970) 304-6979
Street-level locationGet directions
Mailing address
3766 W 10th St
Greeley, CO 80634-1823
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2014-08-12
Frequently asked questions
- What is Greeley Dental, Professional LLC's NPI number?
- Greeley Dental, Professional LLC's National Provider Identifier (NPI) is 1255740577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greeley Dental, Professional LLC?
- Greeley Dental, Professional LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Greeley Dental, Professional LLC located?
- Greeley Dental, Professional LLC's practice location on file with NPPES is 3766 W 10th St, Greeley, CO 80634-1823.
- What is Greeley Dental, Professional LLC's phone number?
- The practice phone number listed in the NPPES registry for Greeley Dental, Professional LLC is (970) 304-1273.
- Who is the authorized official for Greeley Dental, Professional LLC?
- The authorized official listed on Greeley Dental, Professional LLC's NPPES record is Andrey Kondratenko, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greeley Dental, Professional LLC's NPI active?
- Yes — Greeley Dental, Professional LLC's NPI (1255740577) is active in the NPPES registry as of the last update on 2014-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.