Gerry Bowen Green is a Endodontics in Tupelo, Mississippi. Gerry Bowen Green practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Gerry Bowen Green is 1184792160. The last update date is 2014-07-13.
Gerry Bowen Green's current location address is Po Box 2363, Tupelo, Mississippi. You can contact this provider via phone number 6628404422. The mailing address for Gerry Bowen Green is Po Box 2363, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerry Bowen Green |
|---|---|
| Address | Po Box 2363, Tupelo, Mississippi |
| Phone Number | 6628404422 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1184792160 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2014-07-13 |
Provider Mailing Address Detail
| Address | Po Box 2363 |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388032363 |
| Phone Number | 6628404422 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 3373-06 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5973097 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gerry Bowen Green by the Centers for Medicare & Medicaid Services?
The Gerry Bowen Green has been assigned the NPI (National Provider Identifier) 1184792160 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gerry Bowen Green's facilities are geographically located?
The facilities of Gerry Bowen Green are physically situated at the following location: Po Box 2363, Tupelo, MS, 388032363.
What is Gerry Bowen Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gerry Bowen Green is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did the Gerry Bowen Green receive its 1184792160 assignment from the Centers for Medicare & Medicaid Services?
The Gerry Bowen Green was assigned its 1184792160 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details pertaining to Gerry Bowen Green last refreshed?
The information related to the Gerry Bowen Green, including its address, specialty, and other relevant details, was last updated on 2014-07-13.