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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053317214 NPPES
Kentucky MEDICAID 60049574
Kentucky MEDICAID 64049570

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