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Individual

TARA L GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2307 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814
(423) 581-8020
(423) 581-0118
Mailing address
2307 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814
(423) 581-8020
(423) 581-0118

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10914
TN
122300000X
Dentist
2014027290
MO
122300000X
Dentist
DS10914
TN

Other

Enumeration date
06/04/2012
Last updated
08/07/2025
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