# DR. JAMIE LYNN GREENWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194278812
- **Gender:** F
- **Credential:** DMD, MS, ABGD, FAGD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12013971A | IN | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 08/14/2023