Provider Demographics
NPI:1679905103
Name:GREER, LUCIA (DDS)
Entity type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 BAHIA DEL SOL DR
Mailing Address - Street 2:B
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-3081
Mailing Address - Country:US
Mailing Address - Phone:646-477-0427
Mailing Address - Fax:
Practice Address - Street 1:1435 SE 8TH TER STE A
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3289
Practice Address - Country:US
Practice Address - Phone:239-574-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist