Organization
DR. REBECCA GREER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN GREER (OWNER)
(270) 487-5474
Entity
Organization
Contact information
Practice address
42 EXECUTIVE DRIVE, TOMPKINSVILLE, KY 42167
(270) 487-5474
Mailing address
42 EXECUTIVE DRIVE, TOMPKINSVILLE, KY 42167
(270) 487-5474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6219
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45004298
—
KY
Enumeration date
12/27/2007
Last updated
12/27/2007
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