Erena, Gregory R
Erena, Gregory R is an individual health care provider with primary practice located at 620 Perimeter Dr Ste 100, Lexington KY 40517-4125. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Erena, Gregory R can be contacted via phone (859) 268-4423.Contact Information
Primary practice address
620 Perimeter Dr Ste 100
Lexington KY 40517-4125
Phone: (859) 268-4423
Fax: (859) 268-0010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4957 | Kentucky |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 4957 | Kentucky |
Profile Details
| NPI number | 1053317214 |
|---|---|
| LBN Legal business name | Erena, Gregory R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 20th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053317214 | NPPES |
| Kentucky | MEDICAID | 60049574 | |
| Kentucky | MEDICAID | 64049570 |
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