Provider Demographics
NPI:1487069589
Name:BOYTE, MEREDITH GREESON (DMD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:GREESON
Last Name:BOYTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:LYNN
Other - Last Name:GREESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040-0368
Mailing Address - Country:US
Mailing Address - Phone:336-552-3078
Mailing Address - Fax:
Practice Address - Street 1:3244 REYNOLDA ROAD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-922-2542
Practice Address - Fax:336-922-1547
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice