Provider Demographics
NPI:1467476499
Name:GREER, MARC A (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:A
Last Name:GREER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 MERRIMAC ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5124
Mailing Address - Country:US
Mailing Address - Phone:603-436-6922
Mailing Address - Fax:
Practice Address - Street 1:85 MERRIMAC ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5124
Practice Address - Country:US
Practice Address - Phone:603-436-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH23261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice