Provider Demographics
NPI:1629950613
Name:GREYSTONE FAMILY DENTISTRY
Entity type:Organization
Organization Name:GREYSTONE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-991-9997
Mailing Address - Street 1:9012 EAGLE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6992
Mailing Address - Country:US
Mailing Address - Phone:205-999-1938
Mailing Address - Fax:205-991-9925
Practice Address - Street 1:8040 HUGH DANIEL DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-7102
Practice Address - Country:US
Practice Address - Phone:205-991-9997
Practice Address - Fax:205-991-9925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty