Greenway Dental Center S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0477G Issued in WI

Legal business name

GREENWAY DENTAL CENTER S.C.

Practice address

8309 Greenway Blvd.
Middleton, WI 53562

Phone

(608) 824-0824

Fax

(608) 824-0827

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George E Warren, DDS

Title

President

Phone

(608) 824-0824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669684718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 GREENWAY BLVD.",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "608-824-0824",
            "fax_number": "608-824-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 GREENWAY BLVD.",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "608-824-0824",
            "fax_number": "608-824-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY DENTAL CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-824-0824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "0477G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Lynn Gomez, PHARMD
• Claire F Gorham, APSW
• Alex E Gorski, LMT
• William John Graf, DDS
• Alexis Melanie Gray
• Brigid Ellen Gregg
• Jane Greischar
• Anastasia Lyn Grindle, AU.D.
• Nicole Gronstal
• Rhianon Michele Groom, M.D.

• General Practice Dentistry in Middleton, WI
• Providers in Middleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.