| Dr Gerry Bowen Green, DMD | |
|
144 S Thomas St, Tupelo, MS 38801-5312 | |
| (662) 840-4422 | |
| Not Available |
| Full Name | Dr Gerry Bowen Green |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 144 S Thomas St, Tupelo, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184792160 | NPI | - | NPPES |
| 05973097 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5885 (Alabama) | Secondary |
| 1223E0200X | Dentist - Endodontics | 3373-06 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerry Bowen Green, DMD Po Box 2363, Tupelo, MS 38803-2363 Ph: (662) 840-4422 | Dr Gerry Bowen Green, DMD 144 S Thomas St, Tupelo, MS 38801-5312 Ph: (662) 840-4422 |
Dr. Rebecca Smith Mcdougald, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1906 N Gloster St, Tupelo, MS 38804 Phone: 662-844-6420 Fax: 662-844-6421 | |
Dr. Kenneth Lee Austin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3694 W Jackson St, Tupelo, MS 38801 Phone: 662-842-8035 Fax: 662-842-3018 | |
Dr. Carley Cole Wall, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 901 Garfield St, Tupelo, MS 38801 Phone: 662-844-6464 | |
Dr. James Keaton Lang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1763 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-842-2802 | |
Ms. Shamina Khanum, DENTIST Dentist Medicare: Medicare Enrolled Practice Location: 401 S Gloster St Ste 101, Sunnybrook Dentistry, Tupelo, MS 38801 Phone: 662-346-5906 Fax: 678-247-7874 | |
Dr. Dennis Davis Bond Sr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste F5a, Suite F-5a, Tupelo, MS 38801 Phone: 662-844-9580 | |
Dr. John Kevin Holman, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 99 Park Gate Dr, Tupelo, MS 38801 Phone: 662-842-1735 Fax: 662-842-1769 |