Individual
DR. KIMBERLY MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2700 5TH AVE N, BESSEMER, AL 35020-4170
(205) 425-1327
(205) 425-2864
Mailing address
230 E 10TH ST, SUITE 106, ANNISTON, AL 36207-5784
(256) 741-7340
(256) 741-7373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5722
AL
1223G0001X
General Practice Dentistry
Primary
5722
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002515745
UNITED CONCORDIA
AL
05
—
120062
—
AL
Enumeration date
10/27/2009
Last updated
03/22/2017
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