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NPI Code Detail

MEDICARE: LEIGH ANN GREER DDS

MEDICARE: LEIGH ANN GREER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6822CO

General Provider Information

NPI Number : 1134259971
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH ANN GREER DDS
Provider Business Mailing Address
First Line : 320 E FONTANERO
Second Line : SUITE 302
City : COLORADO SPRINGS
State : CO
Zip : 80907-7526
Country : US
Telephone Number : 719-634-4803
Fax Number : 719-634-3610
Provider Business Practice Location Address
First Line : 320 E FONTANERO
Second Line : SUITE 302
City : COLORADO SPRINGS
State : CO
Zip : 80907-7526
Country : US
Telephone Number : 719-634-4803
Fax Number : 719-634-3610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ LEIGH ANN GREER DDS” Practice Location

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