Provider Demographics
NPI:1558578435
Name:LAURA L. GRIER, DDS, PA
Entity type:Organization
Organization Name:LAURA L. GRIER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-799-2703
Mailing Address - Street 1:128 E PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-8000
Mailing Address - Country:US
Mailing Address - Phone:704-799-2703
Mailing Address - Fax:704-799-2705
Practice Address - Street 1:128 E PLAZA DR
Practice Address - Street 2:SUITE 1 & 2
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-8000
Practice Address - Country:US
Practice Address - Phone:704-799-2703
Practice Address - Fax:704-799-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty