| Ty Green, DDS | |
|
23 Garrett Dr, Medina, TN 38355-9639 | |
| (731) 783-1111 | |
| Not Available |
| Full Name | Ty Green |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 23 Garrett Dr, Medina, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851083752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019034200 (Illinois) | Secondary |
| 122300000X | Dentist | 12459 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ty Green, DDS 23 Garrett Dr, Medina, TN 38355-9639 Ph: () - | Ty Green, DDS 23 Garrett Dr, Medina, TN 38355-9639 Ph: (731) 783-1111 |
Dr. Brian S Patterson, D.D.S., B.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23 Garrett Dr, Medina, TN 38355 Phone: 731-783-1111 Fax: 731-783-1112 | |
Griffin Brent Gallimore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 23 Garrett Dr, Medina, TN 38355 Phone: 731-783-1111 Fax: 731-783-1112 |