Organization
GREENVILLE DENTAL CENTER
Active
Parent organization
ISLAND FORD FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAND FORD FAMILY DENTISTRY
Authorized official
DR. STEVEN BRADLEY SAMPSON D.M.D. (OWNER)
(270) 825-1551
Entity
Organization
Contact information
Practice address
132 E MAIN CROSS ST, GREENVILLE, KY 42345-1576
(270) 338-2535
(270) 641-0237
Mailing address
PO BOX 185, GREENVILLE, KY 42345-0185
(270) 338-2532
(270) 641-0237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
07/11/2011
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