| George P. Green Dmd Pa | |
|
1192 Pope St Turbeville SC 29162-0459 | |
| (843) 659-2137 | |
| (843) 659-2135 |
| Full Name | George P. Green Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1192 Pope St, Turbeville, South Carolina |
| Authorized Official Name and Position | George Patrick Green (PRESIDENT) |
| Authorized Official Contact | 8436592137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George P. Green Dmd Pa Po Box 459 Turbeville SC 29162-0459 Ph: (843) 659-2137 | George P. Green Dmd Pa 1192 Pope St Turbeville SC 29162-0459 Ph: (843) 659-2137 |
| NPI Number | 1225013964 |
|---|---|
| Provider Enumeration Date | 12/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225013964 | NPI | - | NPPES |
| Z21067 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2106 (South Carolina) | Primary |