Organization
J GREGG ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RANDALL GREGG DDS, MSD (ORTHODONTIST)
(812) 887-1960
Entity
Organization
Contact information
Practice address
3405 W PURDUE AVE, MUNCIE, IN 47304-5268
(765) 288-1902
(765) 288-3829
Mailing address
3405 W PURDUE AVE, MUNCIE, IN 47304-5268
(765) 288-1902
(765) 288-3829
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/03/2021
Last updated
01/06/2026
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