| John O. Green, Ii, Dds, Pc | |
|
6126 Prestley Mill Rd Ste J Douglasville GA 30134-5624 | |
| (770) 489-1450 | |
| Not Available |
| Full Name | John O. Green, Ii, Dds, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6126 Prestley Mill Rd Ste J, Douglasville, Georgia |
| Authorized Official Name and Position | John O Green (OWNER/DENTIST) |
| Authorized Official Contact | 7704891450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John O. Green, Ii, Dds, Pc 6126 Prestley Mill Rd Ste J Douglasville GA 30134-5624 Ph: () - | John O. Green, Ii, Dds, Pc 6126 Prestley Mill Rd Ste J Douglasville GA 30134-5624 Ph: (770) 489-1450 |
| NPI Number | 1437764180 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437764180 | NPI | - | NPPES |
| 1750531414 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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