Greiner, John Bradley

Greiner, John Bradley is an individual health care provider with primary practice located at 4214 Fleur Dr Suite 6, Des Moines IA 50321-2387. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Greiner, John Bradley can be contacted via phone (515) 285-1694.

Contact Information

Primary practice address
4214 Fleur Dr Suite 6 Des Moines IA 50321-2387
Fax: (515) 285-1636
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6670 Iowa

Profile Details

NPI number 1639217102
LBN Legal business name Greiner, John Bradley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2007
Last updated May 21st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639217102 NPPES
Iowa MEDICAID 0007203

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