OrganizationActive
Pdr Greeley PLLC
NPI 1992261820 · Pediatric Dentistry · Greeley, CO
Pdr Greeley PLLC is a Pediatric Dentistry organization in Greeley, CO (NPI 1992261820).
Provider details
- NPI number
- 1992261820
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keith Van Tassell, Dentist(970) 330-4600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2003 46th Ave
Greeley, CO 80634-3250
Phone: (970) 330-4600
Fax: (970) 330-4612
Street-level locationGet directions
Mailing address
2003 46th Ave
Greeley, CO 80634-3250
Other names (DBA / former)
- Doing business as
- Greeley Kids Dental and Orthodontics
Registry dates
- Enumerated
- 2019-02-15
- Last updated
- 2019-02-15
Frequently asked questions
- What is Pdr Greeley PLLC's NPI number?
- Pdr Greeley PLLC's National Provider Identifier (NPI) is 1992261820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pdr Greeley PLLC?
- Pdr Greeley PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pdr Greeley PLLC located?
- Pdr Greeley PLLC's practice location on file with NPPES is 2003 46th Ave, Greeley, CO 80634-3250.
- What is Pdr Greeley PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pdr Greeley PLLC is (970) 330-4600.
- Who is the authorized official for Pdr Greeley PLLC?
- The authorized official listed on Pdr Greeley PLLC's NPPES record is Keith Van Tassell, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pdr Greeley PLLC's NPI active?
- Yes — Pdr Greeley PLLC's NPI (1992261820) is active in the NPPES registry as of the last update on 2019-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.