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Individual

PERRY G GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1000 ADAMS AVE, MONTGOMERY, AL 36104-4424
(334) 263-2301
(334) 263-0886
Mailing address
1000 ADAMS AVE, MONTGOMERY, AL 36104-4424
(334) 263-2301
(334) 263-0886

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4008
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01645746
UNITED CONCORDIA
AL
01
51516865
BLUE CROSS BLUE SHIELD
AL
01
51516866
BCBS
AL
Enumeration date
05/08/2006
Last updated
07/08/2007
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