# GREGORY R. ERENA, P.S.C.

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

## Provider details

- **NPI number:** 1801893888
- **Authorized official:** GREGORY R ERENA DMD (PRESIDENT)
- **Authorized official phone:** (859) 268-4423

## Contact information

- **Practice address:** 620 PERIMETER DR, STE 100, LEXINGTON, KY 40517-4125
- **Practice address phone:** (859) 268-4423
- **Practice address fax:** (859) 268-0010
- **Mailing address:** 620 PERIMETER DR, STE 100, LEXINGTON, KY 40517-4125
- **Mailing address phone:** (859) 268-4423
- **Mailing address fax:** (859) 268-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 03/20/2009