Provider Demographics
NPI:1275676702
Name:LINNEY, GREG ALLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:GREG
Middle Name:ALLEN
Last Name:LINNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 SWEETWATER BLVD
Mailing Address - Street 2:SUITE #230
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3166
Mailing Address - Country:US
Mailing Address - Phone:281-980-1733
Mailing Address - Fax:
Practice Address - Street 1:4660 SWEETWATER BLVD
Practice Address - Street 2:SUITE #230
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3166
Practice Address - Country:US
Practice Address - Phone:281-980-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice