# GREENVILLE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ISLAND FORD FAMILY DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720246200
- **Legal business name:** ISLAND FORD FAMILY DENTISTRY
- **Authorized official:** DR. STEVEN BRADLEY SAMPSON D.M.D. (OWNER)
- **Authorized official phone:** (270) 825-1551

## Contact information

- **Practice address:** 132 E MAIN CROSS ST, GREENVILLE, KY 42345-1576
- **Practice address phone:** (270) 338-2535
- **Practice address fax:** (270) 641-0237
- **Mailing address:** PO BOX 185, GREENVILLE, KY 42345-0185
- **Mailing address phone:** (270) 338-2532
- **Mailing address fax:** (270) 641-0237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 07/11/2011