Provider Demographics
NPI:1750335857
Name:GRIER, CARROL N (DDS,)
Entity type:Individual
Prefix:DR
First Name:CARROL
Middle Name:N
Last Name:GRIER
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 1:8383 BAYMEADOWS WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-8289
Mailing Address - Country:US
Mailing Address - Phone:904-731-8765
Mailing Address - Fax:904-730-2828
Practice Address - Street 1:8383 BAYMEADOWS WAY
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8289
Practice Address - Country:US
Practice Address - Phone:904-731-8765
Practice Address - Fax:904-730-2828
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN85321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice