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Organization
GEORGE P. GREEN DMD PA
Active
Organization
GEORGE P. GREEN DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PATRICK GREEN DMD (PRESIDENT)
(843) 659-2137
Entity
Organization
Contact information
Practice address
1192 POPE ST, TURBEVILLE, SC 29162-0459
(843) 659-2137
(843) 659-2135
Mailing address
PO BOX 459, TURBEVILLE, SC 29162-0459
(843) 659-2137
(843) 659-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2106
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21067
—
SC
Enumeration date
12/14/2005
Last updated
08/22/2020
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