| Ralph M. Green Medical Pllc | |
|
3809 Poplar Level Rd Ste B Louisville KY 40213-1429 | |
| (502) 459-4273 | |
| (502) 459-4343 |
| Full Name | Ralph M. Green Medical Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3809 Poplar Level Rd Ste B, Louisville, Kentucky |
| Authorized Official Name and Position | Lewis C. Jones (PROVIDER) |
| Authorized Official Contact | 5024594273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph M. Green Medical Pllc 3809 Poplar Level Rd Ste B Louisville KY 40213-1429 Ph: (502) 459-4273 | Ralph M. Green Medical Pllc 3809 Poplar Level Rd Ste B Louisville KY 40213-1429 Ph: (502) 459-4273 |
| NPI Number | 1023510518 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023510518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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