Provider Demographics
NPI:1275684326
Name:GREER, ELIZABETH SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUE
Last Name:GREER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 FAIR WAY
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-5024
Mailing Address - Country:US
Mailing Address - Phone:701-839-6763
Mailing Address - Fax:
Practice Address - Street 1:1015 S BROADWAY
Practice Address - Street 2:SUITE 20
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4667
Practice Address - Country:US
Practice Address - Phone:701-838-1123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND17681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice