Provider Demographics
NPI:1982929584
Name:GREER, DAVID JERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JERRY
Last Name:GREER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 BARWICK DR STE B
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-1529
Mailing Address - Country:US
Mailing Address - Phone:817-292-2555
Mailing Address - Fax:
Practice Address - Street 1:4760 BARWICK DR STE B
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-1529
Practice Address - Country:US
Practice Address - Phone:817-292-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice