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NPI Code Detail

MEDICARE: DR. GREGG RENO KROEN DDS

MEDICARE:  DR. GREGG RENO KROEN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN6866FL

General Provider Information

NPI Number : 1033327192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGG RENO KROEN DDS
Provider Business Mailing Address
First Line : 1299 HOWELL BRANCH RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1005
Country : US
Telephone Number : 407-647-7775
Fax Number : 407-629-6499
Provider Business Practice Location Address
First Line : 1299 HOWELL BRANCH RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1005
Country : US
Telephone Number : 407-647-7775
Fax Number : 407-629-6499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GREGG RENO KROEN DDS” Practice Location

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