Individual provider · Type 1 NPI

Ann Lake Greenwell, DMD

Pediatric Dentistry · Louisville, KY

NPI number 1912989302 Active

Practice location

555 S Floyd St
Louisville, KY 40202-3801

Call (502) 852-5312 Map

Fax (502) 852-5630

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4717 (KY)
Dentist 122300000X4717 (KY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1912989302

Ann Lake Greenwell, DMD's National Provider Identifier is 1912989302, issued on Nov 19, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Louisville, KY. The record was last updated on Jul 15, 2009.