Ann Lake Greenwell in Louisville - Dentist

Ann Lake Greenwell - NPI 1912989302

Ann Lake Greenwell is a Dentist in Louisville, Kentucky. Ann Lake Greenwell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ann Lake Greenwell is 1912989302. The last update date is 2009-07-15.

Ann Lake Greenwell's current location address is 555 S Floyd St, Louisville, Kentucky. You can contact this provider via phone number 5028525312 and fax number 5028525630. The mailing address for Ann Lake Greenwell is 555 S Floyd St, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Ann Lake Greenwell
Address 555 S Floyd St, Louisville, Kentucky
Phone Number 5028525312
Fax Number 5028525630
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1912989302
Provider Enumeration Date 2005-11-19
Last Updated Date 2009-07-15

Provider Mailing Address Detail

Address 555 S Floyd St
City Louisville
State Kentucky (KY)
Post Code 402023801
Phone Number 5028525312
Fax Number 5028525630

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4717
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60047172 KY --

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FAQs about Ann Lake Greenwell

What is the Ann Lake Greenwell's unique identification number?

The Ann Lake Greenwell has been assigned the NPI (National Provider Identifier) Number 1912989302 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Ann Lake Greenwell's physical address?

The Ann Lake Greenwell is physically located at 555 S Floyd St, in the city of Louisville, KY, with the postal code 402023801.

What is Ann Lake Greenwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ann Lake Greenwell's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Ann Lake Greenwell's 1912989302 issued?

The Ann Lake Greenwell's 1912989302 was issued on 2005-11-19.

As of what date was the information pertaining to Ann Lake Greenwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ann Lake Greenwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-15.

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