| Generations Family Dentistry | |
|
254 Market Place Dr Louisville KY 40229-5450 | |
| (502) 955-6134 | |
| (502) 955-6135 |
| Full Name | Generations Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 254 Market Place Dr, Louisville, Kentucky |
| Authorized Official Name and Position | Darren Scott Greenwell (OWNER) |
| Authorized Official Contact | 5029556134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Family Dentistry 254 Market Place Dr Louisville KY 40229-5450 Ph: (502) 955-6134 | Generations Family Dentistry 254 Market Place Dr Louisville KY 40229-5450 Ph: (502) 955-6134 |
| NPI Number | 1205070034 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Medicare PECOS PAC ID | 8123418696 |
|---|---|
| Medicare Enrollment ID | O20211124001792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205070034 | NPI | - | NPPES |
| 60002631 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7709 (Kentucky) | Primary |
| Provider Name | Darren Scott Greenwell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295719078 PECOS PAC ID: 9032509500 Enrollment ID: I20211124001856 |
| Provider Name | Brooke Elizabeth Shelton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679051809 PECOS PAC ID: 2860742715 Enrollment ID: I20211130001967 |
Bardstown Road Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Bardstown Rd, Louisville, KY 40291 Phone: 502-493-0302 | |
Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4740 Dixie Hwy, Louisville, KY 40216 Phone: 502-447-8992 | |
Bbb - Fern Creek Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9360 Cedar Center Way, Louisville, KY 40291 Phone: 502-239-9070 Fax: 502-239-9078 | |
Tds Ky Five Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Thierman Ln, Louisville, KY 40207 Phone: 502-896-2822 | |
Dental Health Professionals Of Kentucky, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7704 Bardstown Rd, Louisville, KY 40291 Phone: 502-200-5220 | |
Advanced Dental Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8517 Preston Hwy, Louisville, KY 40219 Phone: 502-966-4367 Fax: 502-966-4001 | |
Drs. Graham And Fortune, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Galene Dr, Louisville, KY 40299 Phone: 502-267-8176 Fax: 502-267-8177 |