Individual
DR. GREGORY BRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
919 CHAMBERS BLVD, BARDSTOWN, KY 40004-2573
(502) 348-6404
(502) 348-6342
Mailing address
919 CHAMBERS BLVD, BARDSTOWN, KY 40004-2573
(502) 348-6404
(502) 348-6342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9847
KY
1223D0001X
Public Health Dentistry
Primary
9847
KY
Other
Enumeration date
08/17/2016
Last updated
09/08/2020
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