| Ralph M. Green Dmd, Pllc | |
|
3935 Dupont Cir Ste D Louisville KY 40207-4824 | |
| (502) 897-0424 | |
| (502) 897-0427 |
| Full Name | Ralph M. Green Dmd, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3935 Dupont Cir Ste D, Louisville, Kentucky |
| Authorized Official Name and Position | Ralph M Green (ORAL SURGEON) |
| Authorized Official Contact | 5028970424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph M. Green Dmd, Pllc 3935 Dupont Cir Ste D Louisville KY 40207-4824 Ph: (502) 897-0424 | Ralph M. Green Dmd, Pllc 3935 Dupont Cir Ste D Louisville KY 40207-4824 Ph: (502) 897-0424 |
| NPI Number | 1922586338 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922586338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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