| Mr Joel D Green, DDS | |
|
950 W Coy Smith Hwy, Mount Vernon, AL 36560-3201 | |
| (251) 829-9884 | |
| (251) 829-9507 |
| Full Name | Mr Joel D Green |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 950 W Coy Smith Hwy, Mount Vernon, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558314385 | NPI | - | NPPES |
| 1063439065 | Other | AL | NPI GROUP PAYEE NUMBER |
| 631400174 | Medicaid | AL | |
| 630000013 | Medicaid | AL | |
| 011846 | Other | AL | MEDICARE GROUP PAYEE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | ETD0008 (Alabama) | Secondary |
| 1223G0001X | Dentist - General Practice | 5458C (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joel D Green, DDS 251 N Bayou St, Mobile, AL 36603-5827 Ph: (251) 690-8158 | Mr Joel D Green, DDS 950 W Coy Smith Hwy, Mount Vernon, AL 36560-3201 Ph: (251) 829-9884 |
Dr. Robert A Cummings, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 W Coy Smith Hwy, Mount Vernon, AL 36560 Phone: 251-829-9884 Fax: 251-829-9507 | |
Mr. Justin Zackary Jeffus, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 W Coy Smith Hwy, Mount Vernon, AL 36560 Phone: 251-829-9884 Fax: 251-829-9507 | |
Dr. Roxanna Merinda Stewart, DMD Dentist Medicare: Medicare Enrolled Practice Location: 725 Coy Smith Hwy E, Mount Vernon, AL 36560 Phone: 251-662-6822 | |
Dr. Kelly Crooker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 950 W Coy Smith Hwy, Mount Vernon, AL 36560 Phone: 251-829-9884 Fax: 251-829-9507 |