# ERIC GREEN, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154580397
- **Authorized official:** DR. ERIC COLEMAN GREEN DDS (OWNER)
- **Authorized official phone:** (940) 937-2248

## Contact information

- **Practice address:** 910 OAK LN, CHILDRESS, TX 79201-2210
- **Practice address phone:** (940) 937-2248
- **Practice address fax:** (940) 937-8260
- **Mailing address:** PO BOX 248, CHILDRESS, TX 79201-0248
- **Mailing address phone:** (940) 937-2248
- **Mailing address fax:** (940) 937-8260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 23425 | TX | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/03/2008