Individual
DR. BRYAN EVERETT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
431 BELLPORT DR, BOILING SPRINGS, SC 29316-5389
(864) 814-2567
(864) 814-2568
Mailing address
431 BELLPORT DR, BOILING SPRINGS, SC 29316-5389
(864) 814-2567
(864) 814-2568
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
3704
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3704
SC
Other
Enumeration date
04/19/2007
Last updated
05/12/2011
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