Organization
EASTERN SHORE DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GREEN JR. (OWNER)
(251) 928-0620
Entity
Organization
Contact information
Practice address
2213 US HIGHWAY 98, DAPHNE, AL 36526-4365
(251) 928-0620
Mailing address
2213 US HIGHWAY 98, DAPHNE, AL 36526-4365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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