DR. JERRY L GREER (NPI# 1316932973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316932973 |
| Entity Type | Individual |
| Full Name | DR. JERRY L GREER |
| Credential | DDS |
| Practice Address |
2105 E 21st St Tulsa OK 74114-1409 |
| Practice Telephone | 9187474760 |
| Practice Fax Number | 9187476731 |
| Mailing Telephone | 9187474760 |
| Mailing Fax Number | 9187476731 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3693 | OK | Dental Providers |
| Street Address |
2105 E 21ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74114-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376725051 | Jerry L Greer Dds PC | Dentist | 2105 E 21st St, Tulsa, OK 74114-1409 | 2007-12-04 |
| 1568525509 | Thomas Matthew Rogers | Dentist | 2105 E 21st St, Tulsa, OK 74114-1409 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023329901 | Armando Retana | Dentist | 7322 E 91st St, Tulsa, OK 74133-6016 | 2010-06-25 |
| 1811155740 | James W Hackler Dds Inc | Dentist | 5010 East 68th St, 102, Tulsa, OK 74136 | 2008-05-28 |
| 1043349855 | Donal R Woodward | Dentist | 6143 E 91st St, Tulsa, OK 74137-3104 | 2007-03-05 |
| 1376625830 | Lawrence Angelo Cuzalina | Dentist | 7322 E 91 St, Tulsa, OK 74133-6016 | 2006-10-20 |
| 1235221235 | Lloyd A Hudson | Dentist | 7316 E 91st St, Tulsa, OK 74133-6016 | 2006-09-28 |
| 1801809629 | Larry David Lander | Dentist | 6132 E 61st St, Tulsa, OK 74136-2117 | 2006-08-14 |
| 1154351500 | Wayne Scott Harrington | Dentist | 2111 S Atlanta Pl, Tulsa, OK 74114-1709 | 2006-07-03 |
| 1871529651 | John Neil Johnson | Dentist | 4608 S Harvard Ave, Suite C, Tulsa, OK 74135-2913 | 2006-06-24 |
| 1053306142 | Dan Eldon Patterson | Dentist | 9118 S Toledo Ave, Tulsa, OK 74137-2700 | 2005-09-14 |
| 1538151816 | Roger Edward Janitz | Dentist | 5676 W Skelly Dr, Suite B, Tulsa, OK 74107-9144 | 2005-08-22 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on DR. JERRY L GREER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.