Provider Demographics
NPI:1891001715
Name:BINDER, GREGORY D (DMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:D
Last Name:BINDER
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 1:54 IMAGING DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2871
Mailing Address - Country:US
Mailing Address - Phone:606-451-2273
Mailing Address - Fax:
Practice Address - Street 1:54 IMAGING DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2871
Practice Address - Country:US
Practice Address - Phone:606-451-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY89171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice