| Tara L Green, DDS | |
|
4330 Maynardville Hwy, Maynardville, TN 37807-3618 | |
| (865) 992-3849 | |
| (865) 992-5166 |
| Full Name | Tara L Green |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 4330 Maynardville Hwy, Maynardville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114288438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2014027290 (Missouri) | Secondary |
| 122300000X | Dentist | DS10914 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Green, DDS 1013 W Highway 24, Moberly, MO 65270-3156 Ph: (660) 263-8181 | Tara L Green, DDS 4330 Maynardville Hwy, Maynardville, TN 37807-3618 Ph: (865) 992-3849 |
Lawana J Green, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4330 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-992-3849 Fax: 865-992-5166 | |
Andrew Baxter Osborn, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3802 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-992-5821 Fax: 865-992-3042 | |
Dr. John C. Osborn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3802 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-992-5821 | |
Dr. Mary Appel Lewis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4330 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-992-3849 Fax: 865-992-5166 | |
Dr. Danielle Marie Barnes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4330 Maynardville Hwy, Maynardville, TN 37807 Phone: 865-992-3849 Fax: 865-992-5166 |