Organization
GREEN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PRESLEY GREEN DDS (PRESIDENT)
61552326254
Entity
Organization
Contact information
Practice address
2510 MURFREESBORO PIKE, 7, NASHVILLE, TN 37217-3582
(615) 523-2625
(615) 523-2626
Mailing address
2921 OLD FRANKLIN RD, #1213, ANTIOCH, TN 37013-3177
(615) 523-2625
(615) 523-2626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8863
TN
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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