Provider Demographics
NPI:1740550623
Name:GREENSTEIN, PERI MICHELLE (DMD)
Entity type:Individual
Prefix:
First Name:PERI
Middle Name:MICHELLE
Last Name:GREENSTEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:PERI
Other - Middle Name:GREENSTEIN
Other - Last Name:SONENREICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3865 CHERRY CREEK N DRIVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209
Mailing Address - Country:US
Mailing Address - Phone:303-733-7399
Mailing Address - Fax:303-380-3254
Practice Address - Street 1:3865 CHERRY CREEK N DRIVE
Practice Address - Street 2:SUITE 230
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209
Practice Address - Country:US
Practice Address - Phone:303-733-7399
Practice Address - Fax:303-380-3254
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1050021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice