Provider Demographics
NPI:1831319409
Name:MYERS, GREGORY S (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:S
Last Name:MYERS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:6175 SOM CENTER RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2965
Mailing Address - Country:US
Mailing Address - Phone:440-248-3747
Mailing Address - Fax:440-248-3776
Practice Address - Street 1:6175 SOM CENTER RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2965
Practice Address - Country:US
Practice Address - Phone:440-248-3747
Practice Address - Fax:440-248-3776
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH211281223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics