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Organization
GREENWELL FAMILY DENTISTRY, PSC
Active
Organization
GREENWELL FAMILY DENTISTRY, PSC
Active
Other names
Generations Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN SCOTT GREENWELL DMD (OWNER)
(502) 955-6134
Entity
Organization
Contact information
Practice address
254 MARKET PLACE DR, LOUISVILLE, KY 40229-5450
(502) 955-6134
(502) 955-6135
Mailing address
254 MARKET PLACE DR, LOUISVILLE, KY 40229-5450
(502) 955-6134
(502) 955-6135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7709
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002631
—
KY
Enumeration date
04/23/2009
Last updated
04/23/2009
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