Organization Active NPI

Gregory W. Cecil, DMD, LLC

  • Dental Clinic/Center
  • Louisville, KY
National Provider Identifier
1093236887
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5546 Issued in KY
Legal business name
GREGORY W. CECIL, DMD, LLC
Practice address
11302 Preston Hwy
Louisville, KY 40229-2862
Phone
(502) 955-8845
Fax
(502) 969-4634
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory W Cecil, DMDNPI 1639119647
Title
Dr
Phone
(502) 955-8845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5546 KY Primary

Addresses

Primary practice location

11302 Preston Hwy
Louisville, KY 40229-2862

Mailing address

11302 Preston Hwy
Louisville, KY 40229-2862
Phone (502) 955-8845

National Provider Directory

National Provider Directory

Locations

11302 Preston Hwy
Louisville, KY 40229
Phone (502) 955-6134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093236887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292862",
            "telephone_number": "502-955-8845",
            "fax_number": "502-969-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292862",
            "telephone_number": "502-955-8845",
            "fax_number": "502-969-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W. CECIL, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "502-955-8845",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.