Provider Demographics
NPI:1346435252
Name:GREENFIELD, MICHAEL W (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:GREENFIELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 COLONIAL COURT
Mailing Address - Street 2:ROUTES 100 & 116
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-9710
Mailing Address - Country:US
Mailing Address - Phone:914-277-4488
Mailing Address - Fax:914-277-4501
Practice Address - Street 1:374 COLONIAL COURT
Practice Address - Street 2:ROUTES 100 & 116
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-9710
Practice Address - Country:US
Practice Address - Phone:914-277-4488
Practice Address - Fax:914-277-4501
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist