Stephen A Greer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4124-20 Issued in MS

Practice address

2475 Lakeland Dr
Flowood, MS 39232-9505

Phone

(601) 981-4746

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1215551460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 OLD CANTON LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066149",
            "telephone_number": "601-421-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329505",
            "telephone_number": "601-981-4746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390563442",
            "country_code": "US",
            "telephone_number": "601-924-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4124-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Gray, PHARMD
• Randi Cline Green, D.M.D.
• Tiffany Priscilla Green, D.M.D.
• Torrance Tremayne Green, M.D.
• Angela M Greene, PMHNP
• Tina M Gregg, NP-C
• Greggory E. Tharp DMD Inc
• Gregory Gordon MD, PLLC
• Caleb Van Gressett, DC
• Anna Kathryn Griffin, FNP-C

• General Practice Dentistry in Flowood, MS
• Providers in Flowood, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.