Individual
DR. TIFFANY PRISCILLA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
101 LUCKNEY STATION RD, FLOWOOD, MS 39232-8402
(601) 992-8000
(601) 992-8262
Mailing address
101 LUCKNEY STATION RD, FLOWOOD, MS 39232-8402
(601) 992-8000
(601) 992-8262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3296-04
MS
1223P0221X
Pediatric Dentistry
Primary
PEDO-399-06
MS
Other
Enumeration date
07/06/2006
Last updated
03/07/2023
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