# WAYNE ALLEN GREENWOOD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grenwood Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629189626
- **Authorized official:** MS. KRISTI LYNN GEHR (OFFICE MANAGER)
- **Authorized official phone:** (480) 315-1044

## Contact information

- **Practice address:** 8422 E SHEA BLVD, SUITE 104, SCOTTSDALE, AZ 85260-6661
- **Practice address phone:** (480) 315-1044
- **Practice address fax:** (480) 315-1042
- **Mailing address:** 8422 E SHEA BLVD, SUITE 104, SCOTTSDALE, AZ 85260-6661
- **Mailing address phone:** (480) 215-1044
- **Mailing address fax:** (480) 315-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5658 | AZ | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020