NPI 1891916821

Walter Ross Greenlaw, DMD

Practitioner General Practice Dentistry Blue Hill, ME

Practice location

Address: 120 South Street Blue Hill Peninsula Dental, Blue Hill, ME 04614
Phone: (207) 374-5538
Mailing address: 15 Carleton Stream Lane, Blue Hill, ME 04614

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2855 (ME)

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Registry record

NPI: 1891916821
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.