Organization
DAVID D. GREAR, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D GREAR SR. DDS (PRESIDENT)
(231) 796-2053
Entity
Organization
Contact information
Practice address
520 S 3RD AVE, BIG RAPIDS, MI 49307-9501
(231) 796-2053
Mailing address
520 S 3RD AVE, PO BOX 514, BIG RAPIDS, MI 49307-9501
(231) 796-2053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571677
—
MI
05
—
2712090
—
MI
Enumeration date
01/30/2008
Last updated
01/30/2008
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