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NPI Code Detail

MEDICARE: DR. REBECCA LYNN GREER D.M.D

MEDICARE: DR. REBECCA LYNN GREER D.M.D
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 Dentistry6219KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932260940
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA LYNN GREER D.M.D
Provider Business Mailing Address
First Line : 8020 BURKESVILLE RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-7870
Country : US
Telephone Number : 270-678-7845
Fax Number :
Provider Business Practice Location Address
First Line : 42 EXECUTIVE DR
Second Line :
City : TOMPKINSVILLE
State : KY
Zip : 42167-7478
Country : US
Telephone Number : 270-487-5474
Fax Number : 270-487-5156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/08/2007

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