Organization
JEFFREY R. GREEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GREEN DDS (DENTIST)
(989) 643-7856
Entity
Organization
Contact information
Practice address
149 N MIDLAND ST., MERRILL, MI 48637
(989) 643-7856
(989) 643-7856
Mailing address
PO BOX 427, MERRILL, MI 48637-0427
(989) 643-7856
(989) 643-7856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013748
MI
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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