Individual
MICHAEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
919 CONFERENCE DR STE 5, GOODLETTSVILLE, TN 37072-1924
(615) 855-0087
Mailing address
919 CONFERENCE DR STE 5, GOODLETTSVILLE, TN 37072-1924
(615) 855-0087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11397
TN
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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