Provider Demographics
NPI:1538297510
Name:DRS. GREENE & MILLER LLP
Entity Type:Organization
Organization Name:DRS. GREENE & MILLER LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-637-4616
Mailing Address - Street 1:507 E GENESEE ST
Mailing Address - Street 2:PO BOX 482
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1536
Mailing Address - Country:US
Mailing Address - Phone:315-637-4616
Mailing Address - Fax:315-637-0110
Practice Address - Street 1:507 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066-1536
Practice Address - Country:US
Practice Address - Phone:315-637-4616
Practice Address - Fax:315-637-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty