NPI 1629269931
Theresa Ann Green, RDA
Practice location
- Address
- 1573 Fort Campbell Blvd, Clarksville, TN 37042-3535
- Phone
- (931) 553-0919
- Fax
- (931) 553-0971
- Mailing address
- P.O. Box 2339, Clarksville, TN 37042-2339
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1629269931
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Aug 2007
- Record last updated
- 5 Aug 2007
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.