GREENFIELD PERIODONTICS LLC NPI 1053766501

NPI Information

GREENFIELD PERIODONTICS LLC is a periodontics dentist in Greenfield, IN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GREENFIELD PERIODONTICS LLC NPI is 1053766501. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Greenfield Periodontics And Implant Dentistiry.

The provider's business location address is:

120 W MCKENZIE RD
STE J
GREENFIELD, IN
ZIP 46140-072
Phone: (317) 477-3000
Fax: (317) 477-3002

The provider's authorized official is Julie Combs .
The authorized official title is Owner and has the following contact phone number (317) 477-3000.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 5/3/2016.

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:

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