William Nettles Green in Columbia - Orthodontics And Dentofacial Orthopedics

William Nettles Green - NPI 1689731143

William Nettles Green is a Orthodontics And Dentofacial Orthopedics in Columbia, South Carolina. William Nettles Green practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William Nettles Green is 1689731143. The last update date is 2007-07-08.

William Nettles Green's current location address is 3741 Landmark Drive, Columbia, South Carolina. You can contact this provider via phone number 8037871601 and fax number 8037870811. The mailing address for William Nettles Green is 3741 Landmark Drive, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name William Nettles Green
Address 3741 Landmark Drive, Columbia, South Carolina
Phone Number 8037871601
Fax Number 8037870811
Sole Proprietor N
Credentials DMD MS

NPI Number Detail

NPI Number 1689731143
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3741 Landmark Drive
City Columbia
State South Carolina (SC)
Post Code 292044313
Phone Number 8037871601
Fax Number 8037870811

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 3214
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
976521 SC UNITED CONCORDIA

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FAQs about William Nettles Green

What is the unique 10-digit identifier code issued to William Nettles Green by the Centers for Medicare & Medicaid Services?

The William Nettles Green has been assigned the NPI (National Provider Identifier) 1689731143 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of William Nettles Green?

The William Nettles Green is physically situated at 3741 Landmark Drive, in the city of Columbia, state of SC, with the postal code 292044313.

What is the area of specialization for William Nettles Green, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for William Nettles Green is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689731143 to William Nettles Green?

The Centers for Medicare & Medicaid Services originally issued the 1689731143 to William Nettles Green on 2007-01-03.

As of what date were the William Nettles Green's details last updated?

The information pertaining to the William Nettles Green, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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