Provider Demographics
NPI:1316915036
Name:GREENMAN, DAVID NEIL (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NEIL
Last Name:GREENMAN
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:PO BOX 16491
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-8491
Mailing Address - Country:US
Mailing Address - Phone:203-273-3003
Mailing Address - Fax:
Practice Address - Street 1:20 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-2656
Practice Address - Country:US
Practice Address - Phone:203-866-6658
Practice Address - Fax:203-852-9942
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT69211223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery