Individual
DR. STEPHEN LAMAR GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-6114
(386) 304-2677
Mailing address
2348 RIVERDALE CT, OVIEDO, FL 32765-8641
(850) 251-1643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6160
AL
1223P0221X
Pediatric Dentistry
Primary
24580
FL
1223P0221X
Pediatric Dentistry
6160
AL
1223P0221X
Pediatric Dentistry
DN24580
FL
Other
Enumeration date
12/22/2014
Last updated
05/07/2025
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