Benchmark Dental Of Greeley - Medicare Dental Clinic in Greeley, CO

Benchmark Dental Of Greeley is a medicare enrolled dental clinic (Clinic/center - Dental) in Greeley, Colorado. The current practice location for Benchmark Dental Of Greeley is 3400 W 16th St Ste 8e, Greeley, Colorado. For appointments, you can reach them via phone at (970) 352-5448. The mailing address for Benchmark Dental Of Greeley is 3400 W 16th St Ste 8e, Greeley, Colorado and phone number is (970) 352-5448.

Benchmark Dental Of Greeley is licensed to practice in Colorado (license number 00203394). The clinic also participates in the medicare program and its NPI number is 1023506433. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (970) 352-5448.

Contact Information

Benchmark Dental Of Greeley
3400 W 16th St Ste 8e
Greeley
CO 80634-6862
(970) 352-5448
Not Available

Dental Care Clinic Profile

Full NameBenchmark Dental Of Greeley
SpecialityClinic/Center
Location3400 W 16th St Ste 8e, Greeley, Colorado
Authorized Official Name and PositionShawn Michael Custer (OWNER DOCTOR)
Authorized Official Contact4026694971
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benchmark Dental Of Greeley
3400 W 16th St Ste 8e
Greeley
CO 80634-6862

Ph: (970) 352-5448
Benchmark Dental Of Greeley
3400 W 16th St Ste 8e
Greeley
CO 80634-6862

Ph: (970) 352-5448

NPI Details:

NPI Number1023506433
Provider Enumeration Date05/01/2018
Last Update Date09/10/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8022415934
Medicare Enrollment IDO20210920002604

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Medical Identifiers

Medical identifiers for Benchmark Dental Of Greeley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023506433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental 00203394 (Colorado)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Benchmark Dental Of Greeley acts as a billing entity for following providers:
Provider NameShawn Michael Custer
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1801324298
PECOS PAC ID: 9931506847
Enrollment ID: I20210920002834

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