| Steven C. Greenman, D.d.s., Inc. | |
|
1240 S Westlake Blvd Suite 223 Westlake Village CA 91361-1929 | |
| (805) 496-9555 | |
| (805) 497-2541 |
| Full Name | Steven C. Greenman, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1240 S Westlake Blvd, Westlake Village, California |
| Authorized Official Name and Position | Steven C. Greenman (PRESIDENT/OWNER) |
| Authorized Official Contact | 8054969555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven C. Greenman, D.d.s., Inc. 3056 Three Springs Dr Suite 223 Westlake Village CA 91361-5581 Ph: (805) 496-9555 | Steven C. Greenman, D.d.s., Inc. 1240 S Westlake Blvd Suite 223 Westlake Village CA 91361-1929 Ph: (805) 496-9555 |
| NPI Number | 1053642181 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 0840334769 |
|---|---|
| Medicare Enrollment ID | O20100216000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053642181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 29903 (California) | Primary |
| Provider Name | Steven C Greenman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720219876 PECOS PAC ID: 7214071133 Enrollment ID: I20100216000513 |
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