# JULIE A GUM DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Street Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689116295
- **Authorized official:** DR. JULIE A GUM D.M.D. (DENTIST)
- **Authorized official phone:** (610) 746-0488

## Contact information

- **Practice address:** 150 S GREEN ST, NAZARETH, PA 18064-2011
- **Practice address phone:** (610) 746-0488
- **Mailing address:** 150 S GREEN ST, NAZARETH, PA 18064-2011
- **Mailing address phone:** (610) 746-0488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS039590 | PA | Yes |

## Other

- **Enumeration date:** 11/14/2016
- **Last updated:** 11/14/2016