# GREENWELL FAMILY DENTISTRY, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Generations Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205070034
- **Authorized official:** DR. DARREN SCOTT GREENWELL DMD (OWNER)
- **Authorized official phone:** (502) 955-6134

## Contact information

- **Practice address:** 254 MARKET PLACE DR, LOUISVILLE, KY 40229-5450
- **Practice address phone:** (502) 955-6134
- **Practice address fax:** (502) 955-6135
- **Mailing address:** 254 MARKET PLACE DR, LOUISVILLE, KY 40229-5450
- **Mailing address phone:** (502) 955-6134
- **Mailing address fax:** (502) 955-6135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7709 | KY | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60002631 | — | KY |