Individual
GREGORY ALLEN WAY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3935 DUPONT CIR STE D, LOUISVILLE, KY 40207-4824
(502) 897-0424
(502) 897-0427
Mailing address
1955 DEER PARK AVE APT 3, LOUISVILLE, KY 40205-1253
(865) 748-3492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9444
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53900
KY
Other
Enumeration date
04/30/2014
Last updated
09/18/2020
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