Amy E. Green is a Pediatric Dentistry in Columbia, South Carolina. Amy E. Green practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Amy E. Green is 1235190877. The last update date is 2014-09-11.
Amy E. Green's current location address is 8905 Two Notch Rd, Columbia, South Carolina. You can contact this provider via phone number 8037889593 and fax number 8037883123. The mailing address for Amy E. Green is 8905 Two Notch Rd, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amy E. Green |
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Address | 8905 Two Notch Rd, Columbia, South Carolina |
Phone Number | 8037889593 |
Fax Number | 8037883123 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1235190877 |
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Provider Enumeration Date | 2006-03-31 |
Last Updated Date | 2014-09-11 |
Provider Mailing Address Detail
Address | 8905 Two Notch Rd |
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City | Columbia |
State | South Carolina (SC) |
Post Code | 292236367 |
Phone Number | 8037889593 |
Fax Number | 8037883123 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 3161 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ZA9724 | SC | -- | |
ZX3161 | SC | -- |
Post Comment/ Review Below
What is the Amy E. Green's 1235190877?
The Amy E. Green's NPI (National Provider Identifier) Number is 1235190877. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Amy E. Green?
The Amy E. Green is physically situated at 8905 Two Notch Rd, in the city of Columbia, state of SC, with the postal code 292236367.
What is Amy E. Green's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amy E. Green's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235190877 to Amy E. Green?
The Amy E. Green received its 1235190877 assignment from the Centers for Medicare & Medicaid Services on 2006-03-31.
As of what date were the details related to Amy E. Green most recently updated or revised?
The information pertaining to Amy E. Green, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-11.