MEDICARE: DR. PHYLLIS GEE SUM 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
1	1223G0001X	General Practice Dentistry	0401414294	VA

General Provider Information

NPI Number	:	1811065410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHYLLIS GEE SUM GREER DDS

Provider Business Mailing Address
First Line	:	13842 PARSONS BAY DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-5836
Country	:	US
Telephone Number	:	206-427-0895
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 ROCK CREEK VILLA DR STE F
Second Line	:
City	:	QUINTON
State	:	VA
Zip	:	23141-1656
Country	:	US
Telephone Number	:	804-932-5396
Fax Number	:	804-932-5399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	08/14/2024

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