Individual
DR. RICHARD GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1502 OXFORD DR STE 200, GEORGETOWN, KY 40324-8133
(502) 868-9300
Mailing address
1502 OXFORD DR STE 200, GEORGETOWN, KY 40324-8133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000454
VA
122300000X
Dentist
11037
NC
1223P0221X
Pediatric Dentistry
Primary
11106
KY
Other
Enumeration date
06/05/2018
Last updated
07/23/2024
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