Provider Demographics
NPI:1003967902
Name:GREER, SAMANTHA LEIGH (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:LEIGH
Last Name:GREER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 NE MAYNARD RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9675
Mailing Address - Country:US
Mailing Address - Phone:919-650-1224
Mailing Address - Fax:919-650-2144
Practice Address - Street 1:2414 WYCLIFF RD
Practice Address - Street 2:SUITE 103
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-2905
Practice Address - Country:US
Practice Address - Phone:919-786-0940
Practice Address - Fax:919-786-2585
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice