# GREENFIELD DENTAL HEALTH CARE, P.C.

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

## Provider details

- **NPI number:** 1710087945
- **Authorized official:** TODD M. KAMINSKI D.D.S. (PRESIDENT/CEO)
- **Authorized official phone:** (317) 462-2849

## Contact information

- **Practice address:** 737 W GREEN MEADOWS DR STE 100, GREENFIELD, IN 46140-2375
- **Practice address phone:** (317) 462-2849
- **Practice address fax:** (317) 462-6754
- **Mailing address:** 737 W GREEN MEADOWS DR STE 100, GREENFIELD, IN 46140-2375
- **Mailing address phone:** (317) 462-2849
- **Mailing address fax:** (317) 462-6754

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000088172 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 76489 | UNITED CONCORDIA | — |