| Eric Green, Dds | |
|
910 Oak Ln Childress TX 79201-2210 | |
| (940) 937-2248 | |
| (940) 937-8260 |
| Full Name | Eric Green, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 910 Oak Ln, Childress, Texas |
| Authorized Official Name and Position | Eric Coleman Green (OWNER) |
| Authorized Official Contact | 9409372248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Green, Dds Po Box 248 Childress TX 79201-0248 Ph: (940) 937-2248 | Eric Green, Dds 910 Oak Ln Childress TX 79201-2210 Ph: (940) 937-2248 |
| NPI Number | 1154580397 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154580397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23425 (Texas) | Primary |