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GREENE FAMILY DENTISTRY NPI 1568698546


NPI Information

NPI: 1568698546
Provider Name: GREENE FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
140 STONERIDGE DR
SUITE200
RUCKERSVILLE, VA
ZIP 22968
Phone: (434) 985-1052
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GREENE FAMILY DENTISTRY is a general practice dentist in Ruckersville, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GREENE FAMILY DENTISTRY NPI is 1568698546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

140 STONERIDGE DR
SUITE200
RUCKERSVILLE, VA
ZIP 22968-096
Phone: (434) 985-1052
Fax: (434) 990-2066

The provider's authorized official is John H. Knight .
The authorized official title is Dentist/ Owner and has the following contact phone number (434) 293-9793.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 6/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401410495VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126-3934257MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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