# GREELEY PROSTHODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215747084
- **Authorized official:** DR. RYAN LEWIS (OWNER)
- **Authorized official phone:** (303) 834-5723

## Contact information

- **Practice address:** 2726 W 11TH STREET RD, GREELEY, CO 80634-5408
- **Practice address phone:** (303) 834-5723
- **Mailing address:** 2726 W 11TH STREET RD, GREELEY, CO 80634-5408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025