GREENWAY DENTAL LAB INC.
NPI 1053960500
Dental Laboratory Technician in Phoenix, AZ

Q: What is Greenway Dental Lab Inc.'s NPI number?

The NPI number for Greenway Dental Lab Inc. is 1053960500. It was assigned to this organization in the NPPES registry on September 7, 2019.

Q: What is Greenway Dental Lab Inc.'s specialty?

The primary specialty registered for this NPI is Dental Laboratory Technician with taxonomy code 126900000X.

Active since September 07, 2019

1855 W GREENWAY RD STE 109, PHOENIX, AZ 85023(602) 242-2303 Get Directions Write a Review

NPPES record last updated: September 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greenway Dental Lab Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENWAY DENTAL LAB INC. (NPI 1053960500) is a healthcare organization registered as a dental laboratory technician in Phoenix, Arizona and active in the NPI registry since September 2019. The organization lists Matthew Frketich, Owner, as its authorized official.

NPPES Registry Identity

NPI1053960500

Entity TypeOrganization

Primary Taxonomy126900000X

Legal Business NameGREENWAY DENTAL LAB INC.

Location Address1855 W GREENWAY RD STE 109Phoenix, AZ 85023-3475

Mailing Address1855 W Greenway Rd Ste 109Phoenix, AZ 85023-3475 · (602) 242-2303

Phone(602) 242-2303

Organization SubpartNo

Authorized OfficialMatthew FrketichOwner · (602) 242-2303

Enumeration DateSeptember 7, 2019

✔ NPI 1053960500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental Laboratory TechnicianDental Providers

Taxonomy Code126900000X

Definition

An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.

1855 W GREENWAY RD STE 109, Phoenix, AZ 85023

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenway Dental Lab Inc.'s NPI number?

The NPI number for Greenway Dental Lab Inc. is 1053960500. It was assigned to this organization in the NPPES registry on September 7, 2019.

Where is Greenway Dental Lab Inc. located?

Greenway Dental Lab Inc. is located at 1855 W Greenway Rd Ste 109, Phoenix, AZ 85023. The listed phone number is (602) 242-2303.

What is Greenway Dental Lab Inc.'s specialty?

The primary specialty registered for this NPI is Dental Laboratory Technician with taxonomy code 126900000X.

When was this NPI record last updated?

The NPPES record for Greenway Dental Lab Inc. was last updated on September 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.