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NPI Code Detail

MEDICARE: DR. MICHAEL G GREENBERG DMD

MEDICARE:  DR. MICHAEL G GREENBERG  DMD
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 DentistryDS021479LPA

General Provider Information

NPI Number : 1235125253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL G GREENBERG DMD
Provider Business Mailing Address
First Line : 301 N LEWIS RD
Second Line : SUITE 25
City : ROYERSFORD
State : PA
Zip : 19468-1531
Country : US
Telephone Number : 610-948-0531
Fax Number :
Provider Business Practice Location Address
First Line : 301 N LEWIS RD
Second Line : SUITE 25
City : ROYERSFORD
State : PA
Zip : 19468-1531
Country : US
Telephone Number : 610-948-0531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 07/17/2008

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Directions to “ DR. MICHAEL G GREENBERG DMD” Practice Location

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