Greene, Stephen Lamar

Greene, Stephen Lamar is an individual health care provider with primary practice located at 1021 S Ridgewood Ave , Daytona Beach FL 32114-6114. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Greene, Stephen Lamar can be contacted via phone (386) 304-2677.

Contact Information

Primary practice address
1021 S Ridgewood Ave Daytona Beach FL 32114-6114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 24580 Florida
Dental Providers / Pediatric Dentistry 1223P0221X 6160 Alabama
Dental Providers / Dentist 122300000X 6160 Alabama

Profile Details

NPI number 1194113373
LBN Legal business name Greene, Stephen Lamar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2014
Last updated Sep 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers