IndividualActive
Gregory Brussell, DMD
NPI 1548715758 · Public Health Dentistry · Bardstown, KY
Provider details
- NPI number
- 1548715758
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 9847 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
919 Chambers Blvd
Bardstown, KY 40004-2573
Phone: (502) 348-6404
Fax: (502) 348-6342
Approximate (ZIP-level) locationGet directions
Mailing address
919 Chambers Blvd
Bardstown, KY 40004-2573
Additional practice locations (1)
- 169 E Lincoln Trail BlvdRadcliff, KY 40160-1253Phone: (270) 351-5858
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.