Shannon Dale Green in Cullman - General Practice
Shannon Dale Green - NPI 1205914595
Shannon Dale Green is a General Practice in Cullman, Alabama. Shannon Dale Green practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shannon Dale Green is 1205914595. The last update date is 2007-07-08.
Shannon Dale Green's current location address is 322 Graham St Sw, Cullman, Alabama. You can contact this provider via phone number 2567341656 and fax number 2567341659. The mailing address for Shannon Dale Green is 322 Graham St Sw, Cullman, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Dale Green |
|---|---|
| Address | 322 Graham St Sw, Cullman, Alabama |
| Phone Number | 2567341656 |
| Fax Number | 2567341659 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1205914595 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 322 Graham St Sw |
|---|---|
| City | Cullman |
| State | Alabama (AL) |
| Post Code | 350555238 |
| Phone Number | 2567341656 |
| Fax Number | 2567341659 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4785 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shannon Dale Green by the Centers for Medicare & Medicaid Services?
The Shannon Dale Green has been issued the NPI (National Provider Identifier) 1205914595, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shannon Dale Green's physical address?
The Shannon Dale Green is physically located at 322 Graham St Sw, in the city of Cullman, AL, with the postal code 350555238.
What is Shannon Dale Green's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Dale Green's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205914595 to Shannon Dale Green?
The Centers for Medicare & Medicaid Services originally issued the 1205914595 to Shannon Dale Green on 2006-11-02.
As of what date was the information regarding Shannon Dale Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Dale Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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