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
Phone: (386) 304-2677
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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