Organization
JOHN B GREINER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRADLEY GREINER D.D.S. (OWNER/PRESIDENT)
(515) 285-1694
Entity
Organization
Contact information
Practice address
4214 FLEUR DR, SUITE 6, DES MOINES, IA 50321-2387
(515) 285-1694
(515) 285-1636
Mailing address
4214 FLEUR DR, SUITE 6, DES MOINES, IA 50321-2387
(515) 285-1694
(515) 285-1636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6670
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007203
—
IA
Enumeration date
05/21/2008
Last updated
05/21/2008
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