# SHAWN M CUSTER DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benchmark Dental of Greeley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023506433
- **Authorized official:** DR. SHAWN MICHAEL CUSTER DDS (OWNER DOCTOR)
- **Authorized official phone:** (402) 669-4971

## Contact information

- **Practice address:** 3400 W 16TH ST STE 8E, GREELEY, CO 80634-6862
- **Practice address phone:** (970) 352-5448
- **Mailing address:** 3400 W 16TH ST STE 8E, GREELEY, CO 80634-6862
- **Mailing address phone:** (970) 352-5448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 00203394 | CO | Yes |

## Other

- **Enumeration date:** 05/01/2018
- **Last updated:** 09/10/2021