Provider Demographics
NPI:1285730523
Name:GREER, DALE WARREN (DDS,FAGD)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:WARREN
Last Name:GREER
Suffix:
Gender:M
Credentials:DDS,FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 FOREST LANE
Mailing Address - Street 2:SUITE # 311
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-233-4546
Mailing Address - Fax:972-386-9783
Practice Address - Street 1:5925 FOREST LANE
Practice Address - Street 2:SUITE # 311
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-233-4546
Practice Address - Fax:972-386-9783
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice