Organization
JERRY L GREER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L GREER DDS (SURGEON)
(918) 747-4760
Entity
Organization
Contact information
Practice address
2105 E 21ST ST, TULSA, OK 74114-1409
(918) 747-4760
(918) 747-6731
Mailing address
2105 E 21ST ST, TULSA, OK 74114-1409
(918) 747-4760
(918) 747-6731
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3693
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5797
OK
Other
Enumeration date
12/04/2007
Last updated
06/08/2009
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