Most Relevant Information
Provider Data
| NPI Number: | 1003812538 |
| Provider Name: | GREGG KENT MULLENS PHARM.D.; D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 15868 |
Most Important Dates
| Enumeration Date: | 06/21/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
40 SCHOOL ST
STE 6
GREENFIELD
MA
013012436
Practice Location Phone/Fax
| Phone: | 4137737766 |
| Fax: | 4137733050 |
Provider Mailing Location
40 SCHOOL ST
STE 6
GREENFIELD
MA
013012436
Provider Mailing Phone/Fax
| Phone: | 4137737766 |
| Fax: | 4137733050 |