# GREEN & NAHERNAK DDS PC

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

## Provider details

- **NPI number:** 1770503195
- **Authorized official:** NICHOLAS E NAHERNAK D.D.S., P.C. (OWNER-DOCTOR)
- **Authorized official phone:** (989) 872-2181

## Contact information

- **Practice address:** 6506 CHURCH STREET, CASS CITY, MI 48726
- **Practice address phone:** (989) 872-2181
- **Practice address fax:** (989) 872-4471
- **Mailing address:** 6506 CHURCH ST, CASS CITY, MI 48726
- **Mailing address phone:** (989) 872-2181
- **Mailing address fax:** (989) 872-4471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 12/09/2014