Provider Demographics
NPI:1134333909
Name:KREINER, BARTHOLOMEW GREER
Entity type:Individual
Prefix:DR
First Name:BARTHOLOMEW
Middle Name:GREER
Last Name:KREINER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 S FOUNTAIN GREEN RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-4717
Mailing Address - Country:US
Mailing Address - Phone:410-879-1730
Mailing Address - Fax:
Practice Address - Street 1:511 S FOUNTAIN GREEN RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-4717
Practice Address - Country:US
Practice Address - Phone:410-879-1730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD105951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice