NPI 1043689367

Green Dental, PLLC

Organisation Dentist Nashville, TN

Practice location

Address: 2510 Murfreesboro Pike 7, Nashville, TN 37217-3582
Phone: (615) 523-2625
Fax: (615) 523-2626
Mailing address: 2921 Old Franklin Rd #1213, Antioch, TN 37013-3177

Authorised official

Name: Jonathan Presley Green
Title: President
Phone: 61552326254

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 8863 (TN)

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Registry record

NPI: 1043689367
Entity type: Organization
NPI issued: 16 Sep 2015
Record last updated: 16 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.