Individual
DR. AMBER JENKINS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8200 MALL PKWY STE 155, LITHONIA, GA 30038-6985
(770) 484-4051
Mailing address
8200 MALL PKWY, SUITE #155, LITHONIA, GA 30038-6983
(770) 484-4051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012419
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000945843D
—
GA
Enumeration date
10/17/2006
Last updated
07/13/2022
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