George P. Green Dmd Pa | |
1192 Pope St Turbeville SC 29162-0459 | |
(843) 659-2137 | |
(843) 659-2135 |
Full Name | George P. Green Dmd Pa |
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Speciality | Dentist - General Practice |
Location | 1192 Pope St, Turbeville, South Carolina |
Authorized Official Name and Position | George Patrick Green (PRESIDENT) |
Authorized Official Contact | 8436592137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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George P. Green Dmd Pa Po Box 459 Turbeville SC 29162-0459 Ph: (843) 659-2137 | George P. Green Dmd Pa 1192 Pope St Turbeville SC 29162-0459 Ph: (843) 659-2137 |
NPI Number | 1225013964 |
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Provider Enumeration Date | 12/14/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1225013964 | NPI | - | NPPES |
Z21067 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2106 (South Carolina) | Primary |