Individual
JON C GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5000 SCHERTZ PKWY STE 301, SCHERTZ, TX 78154-1457
(210) 860-2217
Mailing address
5000 SCHERTZ PKWY STE 301, SCHERTZ, TX 78154-1457
(210) 860-2217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24012
STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
09/16/2008
Last updated
08/12/2014
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