Individual
DR. WILLIAM NETTLES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
3741 LANDMARK DRIVE, COLUMBIA, SC 29204-4313
(803) 787-1601
(803) 787-0811
Mailing address
3741 LANDMARK DRIVE, COLUMBIA, SC 29204-4313
(803) 787-1601
(803) 787-0811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3214
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
976521
UNITED CONCORDIA
SC
Enumeration date
01/03/2007
Last updated
07/08/2007
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