| Greenhalgh Family Dental | |
|
6345 Long St Shawnee KS 66216 | |
| (913) 631-2400 | |
| (913) 631-0545 |
| Full Name | Greenhalgh Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6345 Long St, Shawnee, Kansas |
| Authorized Official Name and Position | David R Greenhalgh (DR OWNER) |
| Authorized Official Contact | 9136312400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenhalgh Family Dental 6345 Long St Shawnee KS 66216 Ph: (913) 631-2400 | Greenhalgh Family Dental 6345 Long St Shawnee KS 66216 Ph: (913) 631-2400 |
| NPI Number | 1205880218 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205880218 | NPI | - | NPPES |
| 04555021 | Other | MO | BCB KC |
| 1005722 | Medicaid | KS | |
| 834154 | Other | KS | BCBS KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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