Provider Demographics
NPI:1730298761
Name:MARKWAY, GREG M (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:M
Last Name:MARKWAY
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 1:115 N MOONLIGHT RD
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-2505
Mailing Address - Country:US
Mailing Address - Phone:913-856-7123
Mailing Address - Fax:913-856-7121
Practice Address - Street 1:115 N MOONLIGHT RD
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-2505
Practice Address - Country:US
Practice Address - Phone:913-856-7123
Practice Address - Fax:913-856-7121
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60085122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist