Provider Demographics
NPI:1134259971
Name:GREER, LEIGH ANN (DDS)
Entity type:Individual
Prefix:
First Name:LEIGH ANN
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LEIGH ANN
Other - Middle Name:GREER
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:320 E FONTANERO
Mailing Address - Street 2:SUITE 302
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-7526
Mailing Address - Country:US
Mailing Address - Phone:719-634-4803
Mailing Address - Fax:719-634-3610
Practice Address - Street 1:320 E FONTANERO
Practice Address - Street 2:SUITE 302
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-7526
Practice Address - Country:US
Practice Address - Phone:719-634-4803
Practice Address - Fax:719-634-3610
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice