Organization
GREENWELL FAMILY DENTISTRY, PSC
Active
Other names
Generations Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN SCOTT GREENWELL DMD (OWNER)
(502) 955-6134
Entity
Organization
Contact information
Practice address
254 MARKET PLACE DR, LOUISVILLE, KY 40229-5450
(502) 955-6134
(502) 955-6135
Mailing address
254 MARKET PLACE DR, LOUISVILLE, KY 40229-5450
(502) 955-6134
(502) 955-6135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7709
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002631
—
KY
Enumeration date
04/23/2009
Last updated
04/23/2009
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