Organization
GEORGE P. GREEN DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PATRICK GREEN DMD (PRESIDENT)
(843) 659-2137
Entity
Organization
Contact information
Practice address
1192 POPE ST, TURBEVILLE, SC 29162-0459
(843) 659-2137
(843) 659-2135
Mailing address
PO BOX 459, TURBEVILLE, SC 29162-0459
(843) 659-2137
(843) 659-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2106
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21067
—
SC
Enumeration date
12/14/2005
Last updated
08/22/2020
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