| Green Oral Surgery Pllc | |
|
715 W Bailey Boswell Rd Saginaw TX 76179 | |
| (817) 237-7557 | |
| Not Available |
| Full Name | Green Oral Surgery Pllc |
|---|---|
| Speciality | Dentist |
| Location | 715 W Bailey Boswell Rd, Saginaw, Texas |
| Authorized Official Name and Position | Glenn Terrell Green (OWNER) |
| Authorized Official Contact | 2084061777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Oral Surgery Pllc 715 W Bailey Boswell Rd Saginaw TX 76179-1279 Ph: (817) 237-7557 | Green Oral Surgery Pllc 715 W Bailey Boswell Rd Saginaw TX 76179 Ph: (817) 237-7557 |
| NPI Number | 1356870950 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 5496003691 |
|---|---|
| Medicare Enrollment ID | O20180803002006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356870950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 32346 (Texas) | Primary |
| Provider Name | Glenn Green |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801159322 PECOS PAC ID: 9436414414 Enrollment ID: I20180803002075 |
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