Organization
GREEN ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SENIOR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2287 RALEIGH COURT, STE C, CLARKSVILLE, TN 37043
(931) 542-9940
Mailing address
2287 RALEIGH COURT, STE C, CLARKSVILLE, TN 37043
(931) 542-9940
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8151
TN
Other
Enumeration date
04/14/2008
Last updated
07/29/2025
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