Provider Demographics
NPI:1508836941
Name:GREER, JOE C (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:C
Last Name:GREER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-5016
Mailing Address - Country:US
Mailing Address - Phone:901-744-4990
Mailing Address - Fax:901-744-8366
Practice Address - Street 1:2829 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-5016
Practice Address - Country:US
Practice Address - Phone:901-744-4990
Practice Address - Fax:901-744-8366
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice