Joel D Green in Mount Vernon - Dentist

Joel D Green - NPI 1558314385

Joel D Green is a Dentist in Mount Vernon, Alabama. Joel D Green practices all healthcare services and medical treatments related to Dentist. The NPI Number for Joel D Green is 1558314385. The last update date is 2013-02-15.

Joel D Green's current location address is 950 W Coy Smith Hwy, Mount Vernon, Alabama. You can contact this provider via phone number 2518299884 and fax number 2518299507. The mailing address for Joel D Green is 950 W Coy Smith Hwy, Mount Vernon, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel D Green
Address 950 W Coy Smith Hwy, Mount Vernon, Alabama
Phone Number 2518299884
Fax Number 2518299507
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1558314385
Provider Enumeration Date 2006-05-19
Last Updated Date 2013-02-15

Provider Mailing Address Detail

Address 950 W Coy Smith Hwy
City Mount Vernon
State Alabama (AL)
Post Code 365603201
Phone Number 2518299884
Fax Number 2518299507

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No ETD0008
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1063439065 AL NPI GROUP PAYEE NUMBER
631400174 AL --
630000013 AL --
11846 AL MEDICARE GROUP PAYEE NUMBER

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FAQs about Joel D Green

What is the unique provider identifier assigned to Joel D Green?

The Joel D Green has been issued the NPI (National Provider Identifier) 1558314385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Joel D Green is located?

The Joel D Green is situated at the following address: 950 W Coy Smith Hwy, Mount Vernon, AL, 365603201.

What is the Joel D Green's specialty and taxonomy code?

The Joel D Green's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558314385 to Joel D Green?

The Centers for Medicare & Medicaid Services assigned the 1558314385 to Joel D Green on 2006-05-19.

As of what date were the details pertaining to Joel D Green last refreshed?

The information related to the Joel D Green, including its address, specialty, and other relevant details, was last updated on 2013-02-15.

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