Provider Demographics
NPI:1114088945
Name:GREENWOOD, DANNY MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:MICHAEL
Last Name:GREENWOOD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 W AURORA RD
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-2160
Mailing Address - Country:US
Mailing Address - Phone:330-467-2522
Mailing Address - Fax:330-467-0252
Practice Address - Street 1:367 W AURORA RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE HILLS
Practice Address - State:OH
Practice Address - Zip Code:44067-2160
Practice Address - Country:US
Practice Address - Phone:330-467-2522
Practice Address - Fax:330-467-0252
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH205691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice