Organization
DAVID R GREENHALGH DDS PA
Active
Other names
Greenhalgh Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R GREENHALGH DDS (DR OWNER)
(913) 631-2400
Entity
Organization
Contact information
Practice address
6345 LONG ST, SHAWNEE, KS 66216
(913) 631-2400
(913) 631-0545
Mailing address
6345 LONG ST, SHAWNEE, KS 66216
(913) 631-2400
(913) 631-0545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04555021
BCB KC
MO
05
—
1005722
—
KS
01
—
834154
BCBS KS
KS
Enumeration date
05/22/2006
Last updated
08/22/2020
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